Individual
BETHEL MIRIAM VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 UNION ST, 2ND FLOOR, LAWRENCE, MA 01840
(978) 688-3151
Mailing address
22 MERRILL ST, METHUEN, MA 01844
(978) 688-3151
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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