Individual
IBELKIS TEJADA MATOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 MASSACHUSETTS AVE FL 3, CAMBRIDGE, MA 02139-3345
(888) 500-0672
(617) 649-8520
Mailing address
1493 CAMBRIDGE ST # 205, CAMBRIDGE, MA 02139-1047
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
9008
CT
Other
Enumeration date
08/09/2022
Last updated
11/08/2023
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