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Organization

JASMINE WITKOWSKI, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JASMINE N WITKOWSKI LICSW (PRESIDENT)
(774) 766-7986
Entity
Organization

Contact information

Practice address
28 RIVERSIDE DR, PEMBROKE, MA 02359-4947
(774) 766-7986
Mailing address
3 BRIAR PATH WAY, CARVER, MA 02330-1350
(774) 766-7986

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
08/02/2021
Last updated
08/02/2021
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