Erick Banuelos M.A., LCSW
Clinical Social Worker in Lawrence, MA(View on Map)
Full Name
Erick Banuelos M.A., LCSW
NPI Number
1013266790
NPI Type
Individual Provider
Gender
Male
Enumeration Date
09/10/2012
Specialties
(Taxonomies)Licenses
State
Massachusetts
License Number
120253
Contact
Information
Purpose
Mailing
Location
Address
73D WINTHROP AVE
73D WINTHROP AVE
City
Lawrence
Lawrence
State
MA
MA
Postal Code
01843-3716
01843-3716
Country
US
US
Telephone Number
(978) 686-3017
(978) 686-0090
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 11/09/2017
Provider Address
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