Individual
MAXIMILIANO CAMPOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
530 BORDER ST, EAST BOSTON, MA 02128
(857) 284-4507
Mailing address
33 WITHERBEE AVENUE APT 2, REVERE, MA 02151
(781) 244-2483
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
225589
MA
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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