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Individual

DANIEL DE LIMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSYCHOTHERAPIST

Contact information

Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 853-8593
Mailing address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
(508) 853-8593

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1301071
MA
Enumeration date
05/18/2007
Last updated
07/09/2007
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