Individual
CECILIA TATEM SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
257 AYER RD, HARVARD, MA 01451-1108
(978) 772-4457
Mailing address
257 AYER RD, HARVARD, MA 01451-1108
(978) 772-4457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022290
MA
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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