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1548802200
FANNY M DE LA CRUZ
LAWRENCE, MA
NPI
1548802200
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-10-15
Last Update Date
2019-10-15
Business Address
FANNY M DE LA CRUZ
430 N CANAL ST
LAWRENCE, MA 01840-1246
Phone number: 978-327-6623
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Mailing Address
FANNY M DE LA CRUZ
430 N CANAL ST
LAWRENCE, MA 01840-1246
Phone number: 978-327-6623
Copy
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