Andrea Horvitz Jacobsen LICSW

NPI 1730345166 - Social Worker - 1041C0700X

NPI Details
NPI 1730345166
Gender Female
Enumeration Date 08/05/2008
Last Updated 08/19/2011
Entity Type Individual
Active Over 8 years ago
Practice Location
1500 DORCHESTER AVE
DORCHESTER MA, 02122-1327, US
Phone (617) 825-5000
Fax
Business Location
69 CLAPP ST
ABINGTON MA, 02351-2305, US
Phone (617) 335-1601
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 113767
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According to our database, Mrs. Andrea Horvitz Jacobsen LICSW NPI is 1730345166, taxonomy code is 1041C0700X and license number is 113767, license state is located at Massachusetts. Andrea Horvitz Jacobsen LICSW physically located at 1500 Dorchester Ave, Dorchester MA, 02122-1327. NPI Number Andrea Horvitz Jacobsen LICSW has the Individual type.

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1730345166 NPI number is provided on an as is basis without warranty of any kind. 1730345166 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Horvitz Jacobsen LICSW are for informational purposes only.