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Individual

JORGE L LOPEZ-ALVAREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
345 GREENWOOD ST STE A, WORCESTER, MA 01607-1767
(508) 363-0200
Mailing address
345 GREENWOOD ST STE A, WORCESTER, MA 01607-1767
(508) 363-0200

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
222Q00000X
Developmental Therapist
Primary

Other

Enumeration date
02/09/2018
Last updated
01/29/2019
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