Organization
ANGELA CARDOSO, LICSW OUTPATIENT THERAPIST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA CARDOSO FONTES LICSW (CEO)
(508) 690-0830
Entity
Organization
Contact information
Practice address
6 CABOT PL STE 6, STOUGHTON, MA 02072-4625
(508) 690-0830
Mailing address
PO BOX 4234, BROCKTON, MA 02303-4234
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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