Individual ProviderCharlotte WasukiiraCounselorBehavioral Health & Social Service ProvidersPractice Address55 Dimock St # 2119, Roxbury, MA 02119-1029(781) 375-6978(617) 442-8800PECOS EnrollmentBased on the most recent information from CMS, provider Charlotte Wasukiira does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1770953200Provider TypeIndividualFull NameWasukiira, CharlotteTitleMrs.GenderFemaleSole ProprietorNoEnumeration Date9/27/2015Last Updated11/19/2020Contact InformationPractice LocationPractice Address55 Dimock St # 2119, Roxbury, MA 02119-1029Phone(781) 375-6978FaxUnlisted FaxMailing LocationMailing Address55 Dimock St, Roxbury, MA 02119-1029Phone(617) 442-8800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID90E037C3-D314-4C18-8DescriptionOtherIssuerCANSMassachusetts