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Organization
NAKISHA PARILLON LICSW LLC
Active
Organization
NAKISHA PARILLON LICSW LLC
Active
Other names
Nakisha Parillon LICSW LLC
Organization subpart
No
Provider details
NPI number
Authorized official
NAKISHA PARILLON LICSW (SENIOR CLINICIAN)
(617) 283-0654
Entity
Organization
Contact information
Practice address
500 WESTGATE DR # 1051, BROCKTON, MA 02301-1855
(617) 283-0654
Mailing address
116 MASS AVE, BROCKTON, MA 02302-2539
(617) 283-0654
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205354776
NPI
MA
Enumeration date
10/17/2022
Last updated
01/14/2024
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