Individual
ANNALIZA PURUGGANAN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 CLEVELAND ST, MALDEN, MA 02148-6226
(781) 521-8297
Mailing address
118 CLEVELAND STREET, MALDEN, MA 02148
(781) 521-8287
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
103TF0000X
Family Psychologist
5894
LA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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