Individual
MS. ANDREA SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1040 WALTHAM ST, LEXINGTON, MA 02421-8033
(781) 761-5226
(781) 761-5082
Mailing address
1040 WALTHAM ST, LEXINGTON, MA 02421-8033
(781) 761-5226
(781) 761-5082
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/24/2011
Last updated
01/13/2014
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