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Clarence Gonsalves
NPI 1144496878 · on the registry since 2008 · sole proprietor
Practice
- Address
- 321 Blue Hill Ave
Boston, MA 02121 - Phone
- (617) 541-6859
- Organisation at this address
- Roxbury Multi-Service Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Case Manager/Care Coordinator
171M00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts