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1013266790
ERICK BANUELOS
LAWRENCE, MA
NPI
1013266790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 120253)
Enumeration Date
2012-09-10
Last Update Date
2017-11-09
Business Address
ERICK BANUELOS M.A., LCSW
73D WINTHROP AVE
LAWRENCE, MA 01843-3716
Phone number: 978-686-0090
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Mailing Address
ERICK BANUELOS M.A., LCSW
73D WINTHROP AVE
LAWRENCE, MA 01843-3716
Phone number: 978-686-3017
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