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Idenice Sargut, MED
Mental Health Counselor in Lawrence, Massachusetts
NPI 1992983738

Idenice Sargut is a Mental Health Counselor based in Merrimac, MA and is specialized in Mental Health. Idenice Sargut practices in Lawrence, MA and has the professional credentials of MED. The NPI Number for Idenice Sargut is 1992983738 and holds a License No. (Massachusetts).

The current practice location address for Idenice Sargut is 12 Methuen St, Lawrence, MA and can be reached out via phone at 978-620-1770 and via fax at 978-683-5986.

Location: 12 Methuen St, Lawrence, MA, 01860-2242
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992983738
Provider Name
Idenice Sargut
Credential
MED
Provider Entity Type
Individual
Gender
Female
Address
12 Methuen St, Lawrence, MA, 01860-2242
Phone Number
978-620-1770
Fax Number
978-683-5986
Provider Enumeration Date
02/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
042777145 05 MA
institution
Provider Business Practice Location Address Details
Address
12 Methuen St
City
Lawrence
State
Massachusetts
Zip
01840-1700
Phone Number
978-620-1770
Fax Number
978-683-5986
person
Provider Business Mailing Address Details
Address
12 Methuen St
City
Lawrence
State
Massachusetts
Zip
01840-1700
Phone Number
978-620-1770
Fax Number
978-683-5986
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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