Individual
AVIVA JACOBSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
917 BELMONT ST, WATERTOWN, MA 02472-1067
(617) 993-5164
Mailing address
917 BELMONT ST, WATERTOWN, MA 02472-1067
(617) 993-5164
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
04/19/2019
Last updated
11/19/2019
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