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Individual

ELSA M LIZARRALDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
50 REDFIELD ST, SUITE 300, DORCHESTER, MA 02122
(857) 217-3810
(617) 288-7457
Mailing address
1295 WASHINGTON STREET, 2, BRAINTREE, MA 02184
(781) 964-1226

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
09/04/2012
Last updated
09/04/2012
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