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Individual

ANALEE MARIE PALOU-MIRANDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2155 MAIN ST, SPRINGFIELD, MA 01104-3301
(413) 736-0395
Mailing address
147 NORMAN ST, WEST SPRINGFIELD, MA 01089-5003
(413) 736-8329

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042622756
COMMONWEALTH CARE
MA
01
1022610
BEACON
MA
01
1303295
MBHP
MA
05
1303295
MA
01
8443
BMC
MA
01
997303
NETWORK HEALTH
MA
Enumeration date
08/13/2012
Last updated
08/13/2012
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