Individual
DEVORAH MESHOULAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
992 GREAT PLAIN AV, NEEDHAM, MA 02492
(781) 449-8161
(781) 449-3134
Mailing address
992 GREAT PLAIN AV, NEEDHAM, MA 02492
(781) 449-8161
(781) 449-3134
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1024623
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
359476
MAGELLAN
MA
01
—
411767
TUFTS
MA
Enumeration date
10/04/2006
Last updated
07/08/2007
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