Individual
KAREN JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
955 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3233
(617) 864-0941
(617) 876-9760
Mailing address
955 MASSACHUSETTS AVE, CAMBRIDGE, MA 02139-3233
(617) 864-0941
(617) 876-9760
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
415338
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237157222
SOCIAL WORKER
MA
01
—
415338
SOCIAL WORKER
MA
05
—
415338
—
MA
Enumeration date
10/31/2018
Last updated
10/31/2018
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