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Organization
OMNI PSYCHOTHERAPY ASSOCIATES LLC
Active
Organization
OMNI PSYCHOTHERAPY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BAKER LICSW (OWNER)
(508) 492-8648
Entity
Organization
Contact information
Practice address
20 CROSBY RD, CENTERVILLE, MA 02632-2570
(508) 492-8648
(508) 433-1871
Mailing address
20 CROSBY RD, CENTERVILLE, MA 02632-2570
(508) 492-8648
(508) 433-1871
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
10/02/2024
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