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Individual
MR. SAMUEL ROMERO
Active
Individual
MR. SAMUEL ROMERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW MSW
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
1025838
MA
1041C0700X
Clinical Social Worker
Primary
1025838
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
189537
—
MA
01
—
467786
TUFTS
MA
01
—
P08438
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/08/2006
Last updated
06/10/2013
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