Jane Deitz Adolph LICSW

NPI 1396835476 - Social Worker - 1041C0700X

NPI Details
NPI 1396835476
Gender Female
Enumeration Date 10/13/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
57 BEDFORD ST
SUITE 125
LEXINGTON MA, 02420-4500, US
Phone (781) 861-1818
Fax (781) 861-2057
Business Location
57 BEDFORD ST
SUITE 125
LEXINGTON MA, 02420-4500, US
Phone (781) 861-1818
Fax (781) 861-2057
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 100136
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According to our database, Ms. Jane Deitz Adolph LICSW NPI is 1396835476, taxonomy code is 1041C0700X and license number is 100136, license state is located at Massachusetts. Jane Deitz Adolph LICSW physically located at 57 Bedford St, Lexington MA, 02420-4500. NPI Number Jane Deitz Adolph LICSW has the Individual type.

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1396835476 NPI number is provided on an as is basis without warranty of any kind. 1396835476 is maintained by the National Plan & Provider Enumeration System. The contents of Jane Deitz Adolph LICSW are for informational purposes only.