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Individual

SAMANTHA EILEEN RUGGIERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LEP

Contact information

Practice address
66 E WYOMING AVE # 3, MELROSE, MA 02176-4715
(978) 478-7606
Mailing address
66 E WYOMING AVE # 3, MELROSE, MA 02176-4715
(978) 478-7606

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1189
MA

Other

Enumeration date
08/22/2019
Last updated
08/22/2019
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