ALLISTON DACOSTA THOMAS

ALLSTON, MA
NPI1710292990
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-08-12
Last Update Date2010-08-12
Business Address
-- ALLISTON DACOSTA THOMAS
14 FORDHAM RD
ALLSTON, MA 02134-3006
Phone number: 617-782-6460
Mailing Address
-- ALLISTON DACOSTA THOMAS
61 COURT ST
MEDFORD, MA 02155-2669
Phone number: 617-820-7345
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