Organization
SAMANTHA DUTRA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SAMANTHA DUTRA (OWNER)
(781) 918-9773
Entity
Organization
Contact information
Practice address
69 APPLETON ST, ARLINGTON, MA 02476-5955
(781) 218-9773
Mailing address
69 APPLETON ST, ARLINGTON, MA 02476-5955
(781) 218-9773
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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