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Individual

ANGELA LOPEZ LUIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
56 PURITAN RD UNIT B, SWAMPSCOTT, MA 01907-2727
(781) 469-9797
Mailing address
56 PURITAN RD UNIT B, SWAMPSCOTT, MA 01907-2727
(781) 469-9797

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
08/25/2021
Last updated
08/25/2021
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