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Organization

CREATIVE SUCCESS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GAIL E MCMEEKIN LICSW (OWNER)
(617) 323-1442
Entity
Organization

Contact information

Practice address
154 TEMPLE ST, WEST ROXBURY, MA 02132-3807
(617) 323-1442
(617) 323-1963
Mailing address
154 TEMPLE ST, WEST ROXBURY, MA 02132-3807
(617) 323-1442
(617) 323-1963

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101278
MA

Other

Enumeration date
11/30/2009
Last updated
11/30/2009
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