| Nellie Broderick Licsw, Llc | |
|
77 Court St Apt 212 Newton MA 02458-1465 | |
| (617) 823-5458 | |
| Not Available |
| Full Name | Nellie Broderick Licsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 77 Court St Apt 212, Newton, Massachusetts |
| Authorized Official Name and Position | Nellie Catherine Broderick (SOCIAL WORKER) |
| Authorized Official Contact | 6178235458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nellie Broderick Licsw, Llc 163 Highland Ave # 1006 Needham MA 02494-3025 Ph: (617) 823-5458 | Nellie Broderick Licsw, Llc 77 Court St Apt 212 Newton MA 02458-1465 Ph: (617) 823-5458 |
| NPI Number | 1053921346 |
|---|---|
| Provider Enumeration Date | 08/03/2020 |
| Last Update Date | 08/03/2020 |
| Certification Date | 08/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053921346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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