Individual
GEORGE D AFFONSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC I, CADC
Contact information
Practice address
60 CHERRY ST, PLYMOUTH, MA 02360-4466
(508) 746-6654
(508) 746-2433
Mailing address
11A STANDISH AVE, PLYMOUTH, MA 02360-4145
(501) 626-8050
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16860
MA
Other
Enumeration date
05/26/2022
Last updated
06/01/2022
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