LEAH SUSAN RANDOLPH

DORCHESTER, MA
NPI1194034835
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2010-09-29
Last Update Date2010-09-29
Business Address
Ms. LEAH SUSAN RANDOLPH LADC I, MM
21 WAUMBECK ST
DORCHESTER, MA 02121-1220
Phone number: 617-291-3623
Mailing Address
Ms. LEAH SUSAN RANDOLPH LADC I, MM
21 WAUMBECK ST
DORCHESTER, MA 02121-1220
Phone number: 617-291-3623