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NPI Code Detail

MEDICARE: MS. MARINA ANYTE KASDAGLIS LMHC

MEDICARE: MS. MARINA ANYTE KASDAGLIS 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 Counselor5860MA

General Provider Information

NPI Number : 1225110588
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARINA ANYTE KASDAGLIS LMHC
Provider Business Mailing Address
First Line : 152 WOBURN ST
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-2248
Country : US
Telephone Number : 781-860-9877
Fax Number :
Provider Business Practice Location Address
First Line : 190 LENOX ST
Second Line :
City : NORWOOD
State : MA
Zip : 02062-3416
Country : US
Telephone Number : 781-769-8670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 07/08/2007

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