Individual
CARLA ALEXANDRA LOURENCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
52 OBERY ST, PLYMOUTH, MA 02360-2199
(508) 685-1802
Mailing address
38 KENSINGTON, PLYMOUTH, MA 02360-3179
(508) 685-1802
Taxonomy
Speciality
Code
Description
License number
State
103TF0200X
Forensic Psychologist
Primary
9049
MA
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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