| Cedar Street Collaborative | |
|
212 Cedar St # 2 Somerville MA 02145-3521 | |
| (617) 902-0349 | |
| Not Available |
| Full Name | Cedar Street Collaborative |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 212 Cedar St # 2, Somerville, Massachusetts |
| Authorized Official Name and Position | Daniel W Hogan-rigg (OWNER) |
| Authorized Official Contact | 7812288934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Street Collaborative 212 Cedar St # 2 Somerville MA 02145-3521 Ph: (617) 902-0349 | Cedar Street Collaborative 212 Cedar St # 2 Somerville MA 02145-3521 Ph: (617) 902-0349 |
| NPI Number | 1972357333 |
|---|---|
| Provider Enumeration Date | 04/12/2024 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972357333 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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