| Jenny White Kuliesis Licsw, Llc | |
|
661 Massachusetts Ave Ste 21 Arlington MA 02476-5001 | |
| (617) 272-7723 | |
| (617) 485-1698 |
| Full Name | Jenny White Kuliesis Licsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 661 Massachusetts Ave Ste 21, Arlington, Massachusetts |
| Authorized Official Name and Position | Jenny White Kuliesis (OWNER) |
| Authorized Official Contact | 6172727723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jenny White Kuliesis Licsw, Llc 661 Massachusetts Ave Ste 21 Arlington MA 02476-5001 Ph: (617) 272-7723 | Jenny White Kuliesis Licsw, Llc 661 Massachusetts Ave Ste 21 Arlington MA 02476-5001 Ph: (617) 272-7723 |
| NPI Number | 1487222360 |
|---|---|
| Provider Enumeration Date | 06/16/2021 |
| Last Update Date | 06/16/2021 |
| Certification Date | 06/16/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487222360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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