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Organization
WAVE BREAK THERAPY, PLLC
Active
Organization
WAVE BREAK THERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREN C OMENAZU LICSW (CO-OWNER)
(617) 564-0153
Entity
Organization
Contact information
Practice address
82 WENDELL AVE STE 100, PITTSFIELD, MA 01201-7066
(617) 564-0153
Mailing address
82 WENDELL AVE STE 100, PITTSFIELD, MA 01201-7066
(617) 564-0153
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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