EVAN MORAN QUEENAN

BRIGHTON, MA
NPI1790294981
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-09-20
Last Update Date2017-09-20
Business Address
EVAN MORAN QUEENAN
77 WARREN ST
BRIGHTON, MA 02135
Phone number: 617-254-1271
Mailing Address
EVAN MORAN QUEENAN
77 WARREN ST
BRIGHTON, MA 02135-3601
Phone number: