Individual
MRS. SOPHEA PRUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASTERS
Contact information
Practice address
99 CHURCH ST, LOWELL, MA 01852
(978) 458-6282
(978) 441-9826
Mailing address
99 CHURCH ST, LOWELL, MA 01852-2621
(978) 458-6282
(978) 441-9826
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1729
MA
Other
Enumeration date
05/02/2007
Last updated
11/13/2018
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