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Individual
MRS. THERESA ELENA MONUTEAUX
Active
Individual
MRS. THERESA ELENA MONUTEAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1019524
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
014756
VALUE OPTIONS
MA
01
—
101954
TUFTS TOTAL HEALTH
MA
01
—
1035720
BEACON HEALTH
MA
01
—
1890964
MA BEHAVIORA HEALTH
MA
01
—
267988
BCRI
RI
01
—
408300
MAGELLAN
MA
01
—
P06134
BC
MA
Enumeration date
04/26/2006
Last updated
08/16/2010
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