Individual
ADO IBRAHIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
155 MAPLE ST, SPRINGFIELD, MA 01105-2649
(413) 747-0829
(413) 747-7804
Mailing address
12 CANAL ST, 12 CANAL ST, CHICOPEE, MA 01013-2605
(413) 433-1451
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
Other
Enumeration date
03/12/2012
Last updated
03/12/2012
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