Individual
ELIZABETH MARIE COLOMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 559-0473
Mailing address
15 BENTLEY ST, BRIGHTON, MA 02135-2901
(314) 223-2582
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
222200
MA
Other
Enumeration date
09/24/2015
Last updated
11/07/2016
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