Provider Demographics
NPI:1083864540
Name:YEBOAH-ROOMES, JULIETTE STELLA (MSW)
Entity Type:Individual
Prefix:
First Name:JULIETTE
Middle Name:STELLA
Last Name:YEBOAH-ROOMES
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 HIGH STREET
Mailing Address - Street 2:
Mailing Address - City:TAUNTON
Mailing Address - State:MA
Mailing Address - Zip Code:02780-3524
Mailing Address - Country:US
Mailing Address - Phone:508-828-1271
Mailing Address - Fax:
Practice Address - Street 1:246 HIGH ST
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780-3524
Practice Address - Country:US
Practice Address - Phone:508-828-1271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-22
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2149381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical