Individual
MS. ELAINE ELIZABETH HATOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, BCD
Contact information
Practice address
23 PLEASANT ST, SUITE 2, NEWTON, MA 02459-1836
(617) 558-2724
(617) 558-2724
Mailing address
646 GROVE ST, NEWTON, MA 02462-1319
(617) 558-2724
(617) 558-2724
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
104484 LICSW
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
701874
TUFTS ASSOCIATED HEALTH P
MA
Enumeration date
12/13/2006
Last updated
07/08/2007
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