Female

Julissa Pena

Social Worker in Lawrence, MA(View on Map)

Full Name

Julissa Pena

NPI Number

1144587429

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/11/2012

Specialties

(Taxonomies)

Code

104100000X
101Y00000X
103T00000X

Primary Taxonomy

Yes
No
No

Licenses

State

Massachusetts

License Number

S21559274

Contact
Information

Purpose

Mailing
Location

Address

359 LOWELL ST
359 LOWELL ST

City

Lawrence
Lawrence

State

MA
MA

Postal Code

01841-4338
01841-4338

Country

US
US

Telephone Number

N/A
(978) 973-9734

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/11/2012

Provider Address

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