Individual
HALIMAT A SOETAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40 CHURCH ST, LOWELL, MA 01852-6113
(774) 417-7473
Mailing address
8114 AVALON DR, WILMINGTON, MA 01887-1169
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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