Individual
MIRIAM ZISOOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
255 ELM ST STE 201, SOMERVILLE, MA 02144-2947
(617) 702-9131
Mailing address
149 SPRUCE ST, WATERTOWN, MA 02472-1921
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
223920
MA
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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