| Samantha Dutra, Llc | |
|
69 Appleton St Arlington MA 02476-5955 | |
| (781) 218-9773 | |
| Not Available |
| Full Name | Samantha Dutra, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 69 Appleton St, Arlington, Massachusetts |
| Authorized Official Name and Position | Samantha Dutra (OWNER) |
| Authorized Official Contact | 7819189773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samantha Dutra, Llc 69 Appleton St Arlington MA 02476-5955 Ph: (781) 218-9773 | Samantha Dutra, Llc 69 Appleton St Arlington MA 02476-5955 Ph: (781) 218-9773 |
| NPI Number | 1962992495 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 05/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962992495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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