Julia Nedry Llc | |
17 Gunn Rd Ext Apt C Southampton MA 01073-9648 | |
(714) 318-9235 | |
Not Available |
Full Name | Julia Nedry Llc |
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Speciality | Social Worker - Clinical |
Location | 17 Gunn Rd Ext Apt C, Southampton, Massachusetts |
Authorized Official Name and Position | Julia Nedry (OWNER) |
Authorized Official Contact | 7143189235 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Julia Nedry Llc 17 Gunn Rd Ext Apt C Southampton MA 01073-9648 Ph: (714) 318-9235 | Julia Nedry Llc 17 Gunn Rd Ext Apt C Southampton MA 01073-9648 Ph: (714) 318-9235 |
NPI Number | 1720680457 |
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Provider Enumeration Date | 11/09/2020 |
Last Update Date | 11/09/2020 |
Certification Date | 11/05/2020 |
Identifier | Type | State | Issuer |
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1720680457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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