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Individual

CHANDA LYNN PACHECO COUTINHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1061 PLEASANT ST, NEW BEDFORD, MA 02740-6728
(508) 996-8572
Mailing address
1061 PLEASANT ST, NEW BEDFORD, MA 02740-6728
(508) 996-8572

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113116
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1304887
MA
Enumeration date
08/20/2006
Last updated
07/08/2007
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