| Marelin Dost Licsw Llc | |
|
859 Willard St Ste 400 Quincy MA 02169-7469 | |
| (508) 301-3590 | |
| (508) 301-1890 |
| Full Name | Marelin Dost Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 859 Willard St Ste 400, Quincy, Massachusetts |
| Authorized Official Name and Position | Marelin Dost (LLC SINGLE MEMBER/OWNER) |
| Authorized Official Contact | 5083013590 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marelin Dost Licsw Llc 859 Willard St Ste 400 Quincy MA 02169-7469 Ph: (508) 301-3590 | Marelin Dost Licsw Llc 859 Willard St Ste 400 Quincy MA 02169-7469 Ph: (508) 301-3590 |
| NPI Number | 1043801350 |
|---|---|
| Provider Enumeration Date | 01/29/2021 |
| Last Update Date | 01/29/2021 |
| Certification Date | 01/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043801350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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