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Individual

BEIJAME BARBOSA ALVES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW125892
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
110196304A
MA
Enumeration date
06/08/2021
Last updated
12/18/2023
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