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Organization
LIVE YOUR DREAM COUNSELING LLC
Active
Organization
LIVE YOUR DREAM COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNAH BARRY LICSW (OWNER)
(978) 505-2952
Entity
Organization
Contact information
Practice address
165 MAIN ST UNIT 215, MEDWAY, MA 02053-1584
(978) 505-2952
Mailing address
165 MAIN ST UNIT 215, MEDWAY, MA 02053-1584
(978) 505-2952
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122603
BOARD OF SOCIAL WORKERS
MA
Enumeration date
01/03/2023
Last updated
07/11/2023
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