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Individual
KRISTEN MALIA ANTONIO
Active
Individual
KRISTEN MALIA ANTONIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11000
MA
1041S0200X
School Social Worker
478447
MA
174400000X
Specialist
—
—
Other
Enumeration date
10/21/2010
Last updated
05/26/2021
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