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Individual

FABIANA VALENTINA PENA GUTARRA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
181 MALDEN AVE, LOWELL, MA 01854-2009
(978) 375-3097
Mailing address
181 MALDEN AVE, LOWELL, MA 01854-2009
(978) 375-3097

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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