MRS. Tawana Rosita Mack
NPI #1982946026 in Roxbury, Massachusetts
Provider Information
- NPI Number
- 1982946026
- Entity Type
- Individual
- Name
- MRS. Tawana Rosita Mack
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 26, 2013
- Last Updated
- Mar 26, 2013
Practice Location
- Address
- 520 DUDLEY ST
- Address 2
- APT 1
- City
- Roxbury
- State
- Massachusetts
- ZIP Code
- 02119-2769
- Phone
- (617) 989-9499
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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