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Individual

MR. LUIS O BARBOSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
205 PORTLAND ST, BOSTON, MA 02114-1721
(617) 523-2214
Mailing address
687 WASHINGTON AVE, REVERE, MA 02151-1928
(617) 240-9981

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary

Other

Enumeration date
04/17/2008
Last updated
04/17/2008
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