Individual
MS. VENECIA E INFANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 UNION ST, LAWRENCE, MA 01840-1866
(978) 682-7289
Mailing address
PO BOX 3088, LAWRENCE, MA 01842-3088
(978) 387-2253
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
06/25/2015
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