Roberta A Balcom LICSW

NPI 1629144928 - Social Worker - 1041C0700X

NPI Details
NPI 1629144928
Gender Female
Enumeration Date 11/28/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
197 SOUTH ST
PITTSFIELD MA, 01201, US
Phone (413) 445-9944
Fax (413) 442-5955
Business Location
197 SOUTH ST
PITTSFIELD MA, 01201, US
Phone (413) 445-9944
Fax (413) 442-5955
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 1029240
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According to our database, Roberta A Balcom LICSW NPI is 1629144928, taxonomy code is 1041C0700X and license number is 1029240, license state is located at Massachusetts. Roberta A Balcom LICSW physically located at 197 South St, Pittsfield MA, 01201. NPI Number Roberta A Balcom LICSW has the Individual type.

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1629144928 NPI number is provided on an as is basis without warranty of any kind. 1629144928 is maintained by the National Plan & Provider Enumeration System. The contents of Roberta A Balcom LICSW are for informational purposes only.