Individual
ANA T HIDALGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 BIRCH ST, STOUGHTON, MA 02072-3504
(617) 676-5911
Mailing address
14 BIRCH ST, STOUGHTON, MA 02072-3504
(617) 676-5911
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/28/2013
Last updated
09/28/2013
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