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Individual

DR. JOAO M. DE SA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSYCHOLOGIST

Contact information

Practice address
25 BEMIS RD, HUBBARDSTON, MA 01452-1512
(978) 928-5261
Mailing address
25 BEMIS RD, HUBBARDSTON, MA 01452-1512
(978) 928-5261

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
7702
MA
103TC0700X
Clinical Psychologist
Primary
7702
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NONE
MA
Enumeration date
12/24/2020
Last updated
12/24/2020
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