Individual
ROSAURA CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
180 MORTON ST, JAMAICA PLAIN, MA 02130-3735
(617) 626-9607
(617) 626-9578
Mailing address
333 RICCIUTI DR UNIT 631, QUINCY, MA 02169-6294
(617) 481-9460
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
8598
MA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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