Virginia Nina Douglass LICSW

NPI 1093758211 - Social Worker - 1041C0700X

NPI Details
NPI 1093758211
Gender Female
Enumeration Date 06/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
330 BROOKLINE AVE
ROSE 200
BOSTON MA, 02215-5400, US
Phone (617) 667-5725
Fax (617) 667-8701
Business Location
330 BROOKLINE AVENUE
ROSE 200
BOSTON MA, 02215, US
Phone (617) 667-5725
Fax (617) 667-8701
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 1021841
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According to our database, Ms. Virginia Nina Douglass LICSW NPI is 1093758211, taxonomy code is 1041C0700X and license number is 1021841, license state is located at Massachusetts. Virginia Nina Douglass LICSW physically located at 330 Brookline Ave, Boston MA, 02215-5400. NPI Number Virginia Nina Douglass LICSW has the Individual type.

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1093758211 NPI number is provided on an as is basis without warranty of any kind. 1093758211 is maintained by the National Plan & Provider Enumeration System. The contents of Virginia Nina Douglass LICSW are for informational purposes only.