| Sea Glass Clinical Services Llc | |
|
17 Florence St Medford MA 02155-4508 | |
| (617) 209-9890 | |
| Not Available |
| Full Name | Sea Glass Clinical Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17 Florence St, Medford, Massachusetts |
| Authorized Official Name and Position | Alyssa Chrobuck (OWNER) |
| Authorized Official Contact | 2066120430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Glass Clinical Services Llc Po Box 53003 Medford MA 02153-0003 Ph: () - | Sea Glass Clinical Services Llc 17 Florence St Medford MA 02155-4508 Ph: (617) 209-9890 |
| NPI Number | 1053250050 |
|---|---|
| Provider Enumeration Date | 03/25/2026 |
| Last Update Date | 03/25/2026 |
| Certification Date | 03/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053250050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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