TAVERLY JUDE SOUSA

BROOKLINE, MA
NPI1558878264
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: MA  106122)
Enumeration Date2018-01-03
Last Update Date2018-01-03
Business Address
TAVERLY JUDE SOUSA LICSW
33 POND AVE # B207
BROOKLINE, MA 02445-7163
Phone number: 617-739-0075
Mailing Address
TAVERLY JUDE SOUSA LICSW
33 POND AVE # B207
BROOKLINE, MA 02445-7163
Phone number: 617-739-0075
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