Individual
COLEEN BEVACQUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
136 ASHUMET RD, EAST FALMOUTH, MA 02536-4213
(508) 566-3338
Mailing address
136 ASHUMET RD, EAST FALMOUTH, MA 02536-4213
(508) 566-3338
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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