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Individual
SALVATORE JAMES AZEVEDO
Active
Individual
SALVATORE JAMES AZEVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10006199
MA
261QC1500X
Community Health Clinic/Center
—
MA
261QF0400X
Federally Qualified Health Center (FQHC)
4141
MA
Other
Enumeration date
09/08/2020
Last updated
08/17/2026
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