Jack Brian Levin LICSW

NPI 1083999338 - Social Worker - 1041C0700X

NPI Details
NPI 1083999338
Gender Male
Enumeration Date 10/19/2011
Last Updated 08/31/2015
Entity Type Individual
Active Over 5 years ago
Practice Location
800 W CUMMINGS PARK
SUITE 3000
WOBURN MA, 01801-6372, US
Phone (617) 417-4535
Fax
Business Location
23 LEACH ST
SALEM MA, 01970-4710, US
Phone (617) 417-4535
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 118144
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According to our database, Mr. Jack Brian Levin LICSW NPI is 1083999338, taxonomy code is 1041C0700X and license number is 118144, license state is located at Massachusetts. Jack Brian Levin LICSW physically located at 800 W Cummings Park, Woburn MA, 01801-6372. NPI Number Jack Brian Levin LICSW has the Individual type.

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1083999338 NPI number is provided on an as is basis without warranty of any kind. 1083999338 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Brian Levin LICSW are for informational purposes only.