| Gabrielle Siraco Licsw Llc | |
|
165 Main St Unit 301 Medway MA 02053-1584 | |
| (781) 812-3183 | |
| Not Available |
| Full Name | Gabrielle Siraco Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 165 Main St Unit 301, Medway, Massachusetts |
| Authorized Official Name and Position | Gabrielle Siraco (OWNER) |
| Authorized Official Contact | 7818123183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gabrielle Siraco Licsw Llc 165 Main St Unit 301 Medway MA 02053-1584 Ph: (781) 812-3183 | Gabrielle Siraco Licsw Llc 165 Main St Unit 301 Medway MA 02053-1584 Ph: (781) 812-3183 |
| NPI Number | 1902482011 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 03/19/2021 |
| Certification Date | 03/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902482011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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