| Elisabeth Secor, Licsw Llc | |
|
226 Lowell St Ste B7 Wilmington MA 01887-3073 | |
| (781) 462-6030 | |
| Not Available |
| Full Name | Elisabeth Secor, Licsw Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 226 Lowell St Ste B7, Wilmington, Massachusetts |
| Authorized Official Name and Position | Elisabeth Secor (OWNER) |
| Authorized Official Contact | 7814626030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elisabeth Secor, Licsw Llc 226 Lowell St Ste B7 Wilmington MA 01887-3073 Ph: (781) 462-6030 | Elisabeth Secor, Licsw Llc 226 Lowell St Ste B7 Wilmington MA 01887-3073 Ph: (781) 462-6030 |
| NPI Number | 1619545233 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 06/11/2021 |
| Certification Date | 06/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619545233 | NPI | - | NPPES |
| 1303414 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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