Elisa Martin LCSW

NPI 1023121738 - Social Worker - 104100000X

NPI Details
NPI 1023121738
Gender Female
Enumeration Date 08/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
572 ROUTE 28
WEST YARMOUTH MA, 02673-4909, US
Phone (508) 775-0719
Fax
Business Location
500 VICTORY ROAD
SOUTH SHORE MENTAL HEALTH
QUINCY MA, 02171, US
Phone (617) 847-1950
Fax (617) 774-1490
Toxanomy
Taxonomy Code 104100000X
License State Massachusetts
License Number LCSW 210979
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According to our database, Elisa Martin LCSW NPI is 1023121738, taxonomy code is 104100000X and license number is LCSW 210979, license state is located at Massachusetts. Elisa Martin LCSW physically located at 572 Route 28, West Yarmouth MA, 02673-4909. NPI Number Elisa Martin LCSW has the Individual type.

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1023121738 NPI number is provided on an as is basis without warranty of any kind. 1023121738 is maintained by the National Plan & Provider Enumeration System. The contents of Elisa Martin LCSW are for informational purposes only.