Individual
MS. IDONELBA A PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 REDFIELD ST, SUITE 300, DORCHESTER, MA 02122-3630
(857) 217-3755
Mailing address
50 REDFIELD ST, SUITE 300, DORCHESTER, MA 02122-3630
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
07/16/2013
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