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Organization

SOMERVILLE COUNSELING WORKS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIK GANS LICSW (OWNER)
(864) 506-0712
Entity
Organization

Contact information

Practice address
175 ELM ST, SOMERVILLE, MA 02144-3150
(864) 506-0712
Mailing address
175 ELM ST, SOMERVILLE, MA 02144-3150

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1154659563
MA
Enumeration date
11/20/2019
Last updated
11/20/2019
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  • EDI platform