Individual
ELISABETH S BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-2226
(857) 364-2226
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-2226
(857) 364-2226
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
38523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1718645
—
TX
01
—
87443Q
BCBS TEXAS
TX
Enumeration date
08/11/2005
Last updated
09/21/2020
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