SHANICE DELISA DOUGLAS

ROXBURY, MA
NPI1699268797
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-06-13
Last Update Date2018-06-13
Business Address
SHANICE DELISA DOUGLAS
520 DUDLEY ST
ROXBURY, MA 02119-2769
Phone number: 617-989-9499
Mailing Address
SHANICE DELISA DOUGLAS
520 DUDLEY ST
ROXBURY, MA 02119-2769
Phone number: 617-989-9499