THEODORE DISCISCIO

WALTHAM, MA
NPI1447911482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MA  11513)
Enumeration Date2022-01-03
Last Update Date2022-01-03
Business Address
THEODORE DISCISCIO
59 CAUGHEY ST
WALTHAM, MA 02451-3787
Phone number: 781-910-5381
Mailing Address
THEODORE DISCISCIO
59 CAUGHEY ST
WALTHAM, MA 02451-3787
Phone number: