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Organization

SPROUTS HEALTH CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIAM KALUBA SSOZI NP (PMHNP)
(857) 417-5688
Entity
Organization

Contact information

Practice address
300 BAKER AVE # 300A, CONCORD, MA 01742-2131
(857) 417-5688
Mailing address
24 WARREN AVE # AVA, CHELMSFORD, MA 01824-3043
(857) 417-5688

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
10/09/2023
Last updated
10/09/2023
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