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Individual

ELIZABETH TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
64 ELDREDGE ST, NEWTON, MA 02458-2017
(617) 969-4925
Mailing address
64 ELDREDGE ST, NEWTON, MA 02458-2017
(617) 969-4925

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW1142299
MA
172V00000X
Community Health Worker
Primary

Other

Enumeration date
06/29/2023
Last updated
01/21/2026
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