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1164295911
HALIMAT A SOETAN
LOWELL, MA
NPI
1164295911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date
2023-11-02
Last Update Date
2023-11-02
Business Address
HALIMAT A SOETAN
40 CHURCH ST
LOWELL, MA 01852-6113
Phone number: 774-417-7473
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Mailing Address
HALIMAT A SOETAN
8114 AVALON DR
WILMINGTON, MA 01887-1169
Phone number:
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