FERNANDO LUIS VELASQUEZ

SOUTH BOSTON, MA
NPI1467639351
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA  1319AD)
Enumeration Date2008-01-23
Last Update Date2013-09-20
Business Address
-- FERNANDO LUIS VELASQUEZ CADAC
210 OLD COLONY AVE
SOUTH BOSTON, MA 02127-2413
Phone number: 617-268-5000
Mailing Address
-- FERNANDO LUIS VELASQUEZ CADAC
210 OLD COLONY AVE
SOUTH BOSTON, MA 02127-2413
Phone number: 617-268-5000
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