Azora-Minda, Boden

Azora-Minda, Boden is an sole proprietor health care provider with primary practice located at 40 Spruce St , Leominster MA 01453-3361. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Azora-Minda, Boden can be contacted via phone (978) 466-8330.

Contact Information

Primary practice address
40 Spruce St Leominster MA 01453-3361
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1457488967
LBN Legal business name Azora-Minda, Boden
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 28th, 2007
Last updated Sep 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457488967 NPPES
Massachusetts Other 101Y00000X COUNSELOR

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