Individual
EDITH ALEXANDRA SPURLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
130 CONDOR ST, BOSTON, MA 02128-1305
(617) 912-7646
(617) 569-1856
Mailing address
130 CONDOR ST, BOSTON, MA 02128-1305
(617) 912-7646
(617) 569-1856
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
220327
MA
Other
Enumeration date
08/06/2012
Last updated
01/02/2015
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