Individual
CRISTYN LAURIE DEMERCHANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-4623
Mailing address
11 TREMLETT ST, DORCHESTER CENTER, MA 02124-2107
(617) 869-7697
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113738
MA
Other
Enumeration date
05/05/2007
Last updated
07/08/2007
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