Individual
ANNETTE KAZIBWE NAZZIWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
30 DIMOCK ST, ROXBURY, MA 02119
(617) 989-2938
(617) 445-9147
Mailing address
30 DIMOCK ST, ROXBURY, MA 02119-1210
(617) 989-2938
(617) 445-9147
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120801
MA
1041C0700X
Clinical Social Worker
218069
MA
Other
Enumeration date
09/05/2012
Last updated
08/03/2018
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