Individual
OMAR CARRANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSW
Contact information
Practice address
22 PLEASANT ST, SUITE 2000, MALDEN, MA 02148
(781) 913-6998
Mailing address
110 HAMILTON AVE, LYNN, MA 01902-3728
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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