Individual
MR. EDWARD YATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
23 MELLEN ST, CAMBRIDGE, MA 02138-2757
(617) 349-8545
Mailing address
15 DEXTER ST APT 4, WALTHAM, MA 02453-5069
(813) 351-0845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
127177
MA
Other
Enumeration date
08/16/2018
Last updated
07/15/2024
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