Individual
AMIE TERNULLO DIMINICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
(781) 389-6678
Mailing address
77 E MERRIMACK ST, LOWELL, MA 01852-1251
(781) 389-6678
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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