Jody Tannenbaum LICSW

NPI 1376690594 - Social Worker - 1041C0700X

NPI Details
NPI 1376690594
Gender Female
Enumeration Date 01/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
94 PLEASANT ST STE 22
ARLINGTON MA, 02476-6527, US
Phone (781) 316-1771
Fax
Business Location
94 PLEASANT ST STE 22
ARLINGTON MA, 02476-6527, US
Phone (781) 316-1771
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 1016737
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According to our database, Ms. Jody Tannenbaum LICSW NPI is 1376690594, taxonomy code is 1041C0700X and license number is 1016737, license state is located at Massachusetts. Jody Tannenbaum LICSW physically located at 94 Pleasant St Ste 22, Arlington MA, 02476-6527. NPI Number Jody Tannenbaum LICSW has the Individual type.

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1376690594 NPI number is provided on an as is basis without warranty of any kind. 1376690594 is maintained by the National Plan & Provider Enumeration System. The contents of Jody Tannenbaum LICSW are for informational purposes only.