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Individual

MS. ASSUMPTA AMUGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1040 WALTHAM ST, LEXINGTON, MA 02421-8033
(781) 761-5077
Mailing address
1040 WALTHAM ST, LEXINGTON, MA 02421-8033
(781) 761-5077

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0000023532
BMC
MA
01
1004745
NHP
MA
01
1303287
MBHP
MA
01
99618201
NETWORK HEALTH
MA
Enumeration date
09/20/2011
Last updated
09/20/2011
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