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Individual

ENRIQUE CRUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCSW,LICSW, PMHNP,RN

Contact information

Practice address
41 MALL RD, BURLINGTON, MA 01805-4063
(781) 744-8000
Mailing address
PO BOX 24520, NEW YORK, NY 10087-3720
(609) 968-4193

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
093513
NY
1041C0700X
Clinical Social Worker
125306
MA
2084P0800X
Psychiatry Physician
Primary
RN2390444
MA

Other

Enumeration date
10/29/2018
Last updated
08/26/2025
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