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Behavioral Health & Social Service Providers Counselor Professional

Provider NPI: 1023075793

Provider Information:
Gender: F

Practice Location:
Tel: 978-388-5700  Fax: 978-388-4052

Business Mailing Address:
Tel: 978-388-5700  Fax: 978-388-4052

NPI Information:
NPI: 1023075793
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 101YP2500X





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