Individual
LOUISE A MARKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 GRAND VIEW AVE # 1, SOMERVILLE, MA 02143-1812
(617) 666-1580
Mailing address
26 GRAND VIEW AVE # 1, SOMERVILLE, MA 02143-1812
(617) 666-1580
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104001
MA
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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