| Clinical Therapeutic Support Lcsw Pc | |
|
329 Lincoln St Apt 102 Waltham MA 02451-2187 | |
| (866) 525-2766 | |
| Not Available |
| Full Name | Clinical Therapeutic Support Lcsw Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 329 Lincoln St Apt 102, Waltham, Massachusetts |
| Authorized Official Name and Position | Greta Marie Gleissner (CEO) |
| Authorized Official Contact | 9173734557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Therapeutic Support Lcsw Pc 459 Columbus Ave Ste 124 New York NY 10024-5129 Ph: (917) 373-4557 | Clinical Therapeutic Support Lcsw Pc 329 Lincoln St Apt 102 Waltham MA 02451-2187 Ph: (866) 525-2766 |
| NPI Number | 1538924964 |
|---|---|
| Provider Enumeration Date | 02/15/2024 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538924964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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