Individual
LEONEL O SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 FOREST PINES DRIVE, EAST DENNIS, MA 02641-0588
(508) 385-8249
Mailing address
130 FOREST PINES DRIVE, P.O BOX 588, EAST DENNIS, MA 02641-0588
(508) 385-8249
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/28/2011
Last updated
12/28/2011
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