Individual
IRIANA MORALES NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUPPORT SPECIALIST
Contact information
Practice address
400 N MAIN ST, RANDOLPH, MA 02368-4177
(781) 986-4800
Mailing address
400 N MAIN ST, RANDOLPH, MA 02368-4177
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/11/2023
Last updated
10/11/2023
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