Alicia Memenza LICSW

NPI 1710176268 - Social Worker - 1041C0700X

NPI Details
NPI 1710176268
Gender Female
Enumeration Date 10/22/2007
Last Updated 10/22/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
22 HIGH ST
BROOKLINE MA, 02445-7713, US
Phone (857) 364-0255
Fax
Business Location
223 ESSEX ST APT 43
MELROSE MA, 02176-3183, US
Phone (617) 669-9658
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 111579
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According to our database, Miss Alicia Memenza LICSW NPI is 1710176268, taxonomy code is 1041C0700X and license number is 111579, license state is located at Massachusetts. Alicia Memenza LICSW physically located at 22 High St, Brookline MA, 02445-7713. NPI Number Alicia Memenza LICSW has the Individual type.

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1710176268 NPI number is provided on an as is basis without warranty of any kind. 1710176268 is maintained by the National Plan & Provider Enumeration System. The contents of Alicia Memenza LICSW are for informational purposes only.