EZEQUIEL R LOPES

BOSTON, MA
NPI1992066203
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2012-06-04
Last Update Date2012-06-04
Business Address
EZEQUIEL R LOPES
794 MASSACHUSETTS AVE
BOSTON, MA 02118-2319
Phone number: 617-534-9158
Mailing Address
EZEQUIEL R LOPES
1010 MASSACHUSETTES AVENUE
BOSTON, MA 02118
Phone number: 617-419-3408