Max Verly Etienne
Max Verly Etienne is a Counselor in Roxbury, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
504 Dudley StRoxbury, MA 02119-2732
Phone: (857) 919-7922
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1528798824 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2022 |
| Last updated in NPPES | June 10, 2022 |
| Certification date | June 10, 2022 |
| Mailing address | 504 Dudley St, Roxbury, MA 02119-2732 |
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