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Individual

KARLA LIZBET RIVAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
44 MANSFIELD ST, ALLSTON, MA 02134
(617) 599-9700
Mailing address
44 MANSFIELD ST, ALLSTON, MA 02134
(617) 599-9700

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary

Other

Enumeration date
12/04/2018
Last updated
12/04/2018
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