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Individual

BENJAMIN MANISCALCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
111 S BEDFORD ST STE 208, BURLINGTON, MA 01803-5145
(781) 309-7207
Mailing address
111 S BEDFORD ST STE 208, BURLINGTON, MA 01803-5145
(781) 309-7207

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
122879
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
10/22/2014
Last updated
08/30/2020
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