Clinical Therapeutic Support Lcsw Pc | |
329 Lincoln St Apt 102 Waltham MA 02451-2187 | |
(866) 525-2766 | |
Not Available |
Full Name | Clinical Therapeutic Support Lcsw Pc |
---|---|
Speciality | Social Worker - Clinical |
Location | 329 Lincoln St Apt 102, Waltham, Massachusetts |
Authorized Official Name and Position | Greta Marie Gleissner (CEO) |
Authorized Official Contact | 9173734557 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinical Therapeutic Support Lcsw Pc 459 Columbus Ave Ste 124 New York NY 10024-5129 Ph: (917) 373-4557 | Clinical Therapeutic Support Lcsw Pc 329 Lincoln St Apt 102 Waltham MA 02451-2187 Ph: (866) 525-2766 |
NPI Number | 1538924964 |
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Provider Enumeration Date | 02/15/2024 |
Last Update Date | 02/15/2024 |
Certification Date | 02/15/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538924964 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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