Organization
LUZ STELLA LOAIZA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUZ STELLA LOAIZA LCSW (SOCIAL WORKER)
(617) 637-5250
Entity
Organization
Contact information
Practice address
47 PHEASANT ST, WEST ROXBURY, MA 02132-3011
(617) 637-5250
Mailing address
47 PHEASANT ST, WEST ROXBURY, MA 02132-3011
(617) 637-5250
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
S37025870
MA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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