Individual
ALISA R ENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
35 WALNUT ST, NATICK, MA 01760-2848
(508) 647-1005
Mailing address
35 WALNUT ST, NATICK, MA 01760-2848
(508) 647-1005
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1031458-SW-LICSW
MA
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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