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NPI Code Detail

MEDICARE: EVA AGNES MENDES

MEDICARE:   EVA AGNES MENDES
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1144597576
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVA AGNES MENDES
Provider Business Mailing Address
First Line : 6 HARVARD ST
Second Line :
City : ARLINGTON
State : MA
Zip : 02476-6018
Country : US
Telephone Number : 617-669-3040
Fax Number :
Provider Business Practice Location Address
First Line : 6 HARVARD ST
Second Line :
City : ARLINGTON
State : MA
Zip : 02476-6018
Country : US
Telephone Number : 617-669-3040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2011
Last Update Date : 04/09/2012

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Directions to “ EVA AGNES MENDES ” Practice Location

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