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Organization
WELLNESS THERAPIST, LLC
Active
Organization
WELLNESS THERAPIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YLIRA PIMENTEL DIAZ L.I.C.S.W (PSYCHOTHERAPIST)
(617) 299-9615
Entity
Organization
Contact information
Practice address
264 BEACON ST, BOSTON, MA 02116-1236
(617) 299-9615
Mailing address
PO BOX 490849, EVERETT, MA 02149-0015
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118930
MA
Other
Enumeration date
12/27/2016
Last updated
12/27/2016
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