Dallas Alicea
Social Worker in Lowell, MA. Individual provider (NPI-1).
NPI number1659786085
StatusActive
Last updated in NPPESJun 24, 2014
Details
- NPI
- 1659786085
- Entity type
- Individual (NPI-1)
- Name
- Dallas Alicea
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2014
- Last updated
- Jun 24, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
77 E Merrimack StLowell, MA 01852-1251
Phone 978-453-6800
Mailing address
12 Chatham CirSalem, NH 03079-3705
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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