Power Of Connection | |
17 Henshaw St Brighton MA 02135-2905 | |
(617) 669-6059 | |
Not Available |
Full Name | Power Of Connection |
---|---|
Speciality | Social Worker - Clinical |
Location | 17 Henshaw St, Brighton, Massachusetts |
Authorized Official Name and Position | Elena Medvedovski-khanukaev (OWNER/CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 6176696059 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Power Of Connection 17 Henshaw St Brighton MA 02135-2905 Ph: (617) 669-6059 | Power Of Connection 17 Henshaw St Brighton MA 02135-2905 Ph: (617) 669-6059 |
NPI Number | 1922346212 |
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Provider Enumeration Date | 01/22/2013 |
Last Update Date | 08/30/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922346212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 113723 (Massachusetts) | Primary |
1041C0700X | Social Worker - Clinical | 218572 (Massachusetts) | Secondary |
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