Miguelina Mata

NPI #1023489804 in Dorchester, Massachusetts

Provider Information

NPI Number: 1023489804
Entity Type: Individual
Name: Miguelina Mata
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 19, 2015
Last Updated: Oct 19, 2015

Practice Location

Address: 50 REDFIELD ST
Address 2: SUITE 300
City: Dorchester
State: Massachusetts
ZIP Code: 02122-3630
Phone: (617) 288-7450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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