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Organization
MMTP
Active
Organization
MMTP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCOS JESUS PARES (CLINICIAN 1)
(413) 747-9075
Entity
Organization
Contact information
Practice address
227 MILL ST, SPRINGFIELD, MA 01108-1007
(413) 747-9075
(413) 747-9075
Mailing address
65 PINE ST, HOLYOKE, MA 01040-4105
(413) 536-2659
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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