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NPI Code Detail

MEDICARE: MRS. ZULMIRA BOTELHO ALLCOCK LMHC

MEDICARE: MRS. ZULMIRA BOTELHO ALLCOCK LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor268MA

General Provider Information

NPI Number : 1982745311
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ZULMIRA BOTELHO ALLCOCK LMHC
Provider Business Mailing Address
First Line : 90 SAKONNET RIDGE DR
Second Line :
City : TIVERTON
State : RI
Zip : 02878-4459
Country : US
Telephone Number : 401-624-1532
Fax Number :
Provider Business Practice Location Address
First Line : 68 ALLISON AVE
Second Line :
City : TAUNTON
State : MA
Zip : 02780-6958
Country : US
Telephone Number : 508-880-0202
Fax Number : 508-880-2425
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2007
Last Update Date : 07/08/2007

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