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1912629403
CARLOS ALBERTO MEDINA
WORCESTER, MA
NPI
1912629403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
CARLOS ALBERTO MEDINA
21 CATHARINE ST
WORCESTER, MA 01605-2709
Phone number: 508-416-9548
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Mailing Address
CARLOS ALBERTO MEDINA
21 CATHARINE ST
WORCESTER, MA 01605-2709
Phone number: 508-416-9548
Copy
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