Organization
ANDOVER SOCIAL DEVELOPMENT AND COUNSELING CENTER
Active
Organization
ANDOVER SOCIAL DEVELOPMENT AND COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANN ROGERS-BURKE LICSW (OWNER/ DIRECTOR)
(978) 077-1642
Entity
Organization
Contact information
Practice address
89 N MAIN ST STE 3, ANDOVER, MA 01810-3581
(978) 771-6428
Mailing address
89 N MAIN ST STE 3, ANDOVER, MA 01810-3581
(978) 771-6428
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861910275
—
MA
Enumeration date
09/24/2018
Last updated
09/24/2018
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