Organization
JEREMY SANTACROCE, RN/NP, LICSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY SANTACROCE RN/NP, LICSW (OWNER)
(978) 443-6960
Entity
Organization
Contact information
Practice address
323 BOSTON POST RD, UNIT 4C, SUDBURY, MA 01776-3022
(978) 443-6960
(978) 443-6502
Mailing address
323 BOSTON POST RD, UNIT 4C, SUDBURY, MA 01776-3022
(978) 443-6960
(978) 443-6502
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
114229
MA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2264377
MA
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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