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Individual

JONATHAN ADDISON RESNIC

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1105 HUMPHREY ST, SWAMPSCOTT, MA 01907-1435
(617) 285-4691
Mailing address
1105 HUMPHREY ST, SWAMPSCOTT, MA 01907-1435
(617) 285-4691

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
10627
CT

Other

Enumeration date
05/20/2025
Last updated
05/20/2025
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