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1578121596
ALFREDO ISMAEL TEJADA
LAWRENCE, MA
NPI
1578121596
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Additional Taxonomies
103T00000X Psychologist
Enumeration Date
2019-06-04
Last Update Date
2019-06-04
Business Address
ALFREDO ISMAEL TEJADA
23 BERKELEY ST APT 3
LAWRENCE, MA 01841-1908
Phone number: 978-908-8818
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Mailing Address
ALFREDO ISMAEL TEJADA
15 UNION ST STE 200
LAWRENCE, MA 01840-1823
Phone number:
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