Individual
ELKINE JACQUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 309-7874
Mailing address
24 SOUTH ST, APT 37, MEDFORD, MA 02155-4475
(617) 309-7875
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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