Joseph Deangelis Licsw Llc | |
1565 Main St Bldg 2, Suite 200 Tewksbury MA 01876-2085 | |
(978) 851-4468 | |
(978) 851-5561 |
Full Name | Joseph Deangelis Licsw Llc |
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Speciality | Social Worker - Clinical |
Location | 1565 Main St, Tewksbury, Massachusetts |
Authorized Official Name and Position | Joseph Anthony Deangelis (OWNER) |
Authorized Official Contact | 9788514468 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Joseph Deangelis Licsw Llc 1565 Main St Bldg 2, Suite 200 Tewksbury MA 01876-2085 Ph: (978) 851-4468 | Joseph Deangelis Licsw Llc 1565 Main St Bldg 2, Suite 200 Tewksbury MA 01876-2085 Ph: (978) 851-4468 |
NPI Number | 1760686596 |
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Provider Enumeration Date | 06/14/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760686596 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1030425 (Massachusetts) | Primary |
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