Liana Kim Van De Water
NPI #1437710084 in Medford, Massachusetts
Provider Information
- NPI Number
- 1437710084
- Entity Type
- Individual
- Name
- Liana Kim Van De Water
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor
- Enumeration Date
- Jun 25, 2019
- Last Updated
- Jun 25, 2019
Practice Location
- Address
- 100 GEORGE P HASSETT DR
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-3258
- Phone
- (781) 393-4828
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
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