Individual
VANEZA BURGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 PLEASANT ST, LYNN, MA 01901-1524
(339) 440-1650
Mailing address
95 PLEASANT ST, LYNN, MA 01901-1524
(781) 879-7164
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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