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Individual

KRISTEN MARIE AMICANGIOLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
99 TOPEKA ST, BOSTON, MA 02118-2717
(617) 528-8211
Mailing address
228 AUBURN ST, AUBURNDALE, MA 02466-2407
(617) 528-8211

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
08/01/2018
Last updated
08/01/2018
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