Individual
MARIBEL VANCORBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
365 EAST STREET, SAUNDERS BUILDING C-2, TEWKSBURY, MA 01876
(857) 322-6010
Mailing address
PO BOX 9473, LOWELL, MA 01853-9473
(978) 259-3510
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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