Individual
LEXUS ELIZABETH ANDRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 NORTH ST, NEW BEDFORD, MA 02740-2782
(508) 984-5566
Mailing address
25 DEVOLL ST, NEW BEDFORD, MA 02740-2128
(508) 734-0260
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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