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Organization
INTEGRATIVE THERAPIES, LLC
Active
Organization
INTEGRATIVE THERAPIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN SHERRAD BARTON LICSW (OWNER)
(617) 770-1170
Entity
Organization
Contact information
Practice address
97 HOLMES ST, QUINCY, MA 02171-2433
(617) 770-1170
(617) 770-1174
Mailing address
97 HOLMES ST, QUINCY, MA 02171-2433
(617) 770-1170
(617) 770-1174
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1027200
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1854542
—
MA
Enumeration date
09/11/2009
Last updated
11/02/2010
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