Most Relevant Information
Provider Data
| NPI Number: | 1003567876 |
| Provider Name: | ISABELLE G RUIZ DE LUZURIAGA LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 227750 |
Most Important Dates
| Enumeration Date: | 01/13/2022 |
| Last Updated: | 01/27/2022 |
Provider Practice Location
780 ALBANY ST
BOSTON
MA
021182755
Practice Location Phone/Fax
| Phone: | 8576541000 |
| Fax: |
Provider Mailing Location
780 ALBANY ST
BOSTON
MA
021182755
Provider Mailing Phone/Fax
| Phone: | 8576541000 |
| Fax: |