Individual
MR. OMAR ALBERTO RUIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
1452 DORCHESTER AVE, 4TH FLOOR, DORCHESTER, MA 02122-1386
(857) 230-0313
Mailing address
1452 DORCHESTER AVE, 4TH FLOOR, DORCHESTER, MA 02122-1386
(857) 230-0313
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1475
MA
Other
Enumeration date
12/03/2009
Last updated
06/03/2015
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