Shauna Mary Boothby

NPI #1073111639 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1073111639
Entity Type: Individual
Name: Shauna Mary Boothby
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Oct 15, 2020
Last Updated: Oct 15, 2020

Practice Location

Address: 157 GREEN ST
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-2667
Phone: (617) 460-7248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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