| Nakisha Parillon Licsw Llc | |
|
500 Westgate Dr # 1051 Brockton MA 02301-1855 | |
| (617) 283-0654 | |
| Not Available |
| Full Name | Nakisha Parillon Licsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 500 Westgate Dr # 1051, Brockton, Massachusetts |
| Authorized Official Name and Position | Nakisha Parillon (SENIOR CLINICIAN) |
| Authorized Official Contact | 6172830654 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nakisha Parillon Licsw Llc 116 Mass Ave Brockton MA 02302-2539 Ph: (617) 283-0654 | Nakisha Parillon Licsw Llc 500 Westgate Dr # 1051 Brockton MA 02301-1855 Ph: (617) 283-0654 |
| NPI Number | 1619693140 |
|---|---|
| Provider Enumeration Date | 10/17/2022 |
| Last Update Date | 01/14/2024 |
| Certification Date | 01/14/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619693140 | NPI | - | NPPES |
| 1205354776 | Other | MA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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