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Organization
NELLIE BRODERICK LICSW, LLC
Active
Organization
NELLIE BRODERICK LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELLIE CATHERINE BRODERICK LICSW (SOCIAL WORKER)
(617) 823-5458
Entity
Organization
Contact information
Practice address
77 COURT ST APT 212, NEWTON, MA 02458-1465
(617) 823-5458
Mailing address
163 HIGHLAND AVE # 1006, NEEDHAM, MA 02494-3025
(617) 823-5458
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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