Provider Demographics
NPI:1699900019
Name:HUGHES, SALESIA T (MED)
Entity type:Individual
Prefix:
First Name:SALESIA
Middle Name:T
Last Name:HUGHES
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12 OAKHURST ST
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER CENTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-3221
Mailing Address - Country:US
Mailing Address - Phone:617-543-6653
Mailing Address - Fax:617-541-8178
Practice Address - Street 1:520 DUDLEY ST
Practice Address - Street 2:CHILDREN SERVICES OF ROXBURY
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-2769
Practice Address - Country:US
Practice Address - Phone:617-989-9438
Practice Address - Fax:617-541-8178
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-29
Last Update Date:2009-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical