Individual
FLAVIA DE CASTRO FARIAS LOPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
675 MAIN ST, WALTHAM, MA 02451-0602
(774) 405-1067
Mailing address
9 ESSEX LN APT 9, PEABODY, MA 01960-8054
(978) 601-2162
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/23/2023
Last updated
05/05/2023
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