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Individual

ALLYSE M FRIESWYK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
28 GOODHUE ST UNIT 405, SALEM, MA 01970-2282
(508) 560-2585
Mailing address
28 GOODHUE ST UNIT 405, SALEM, MA 01970-2282
(508) 560-2585

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1031568-SW-LICSW
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1031568-SW-LISCW
MA
Enumeration date
08/30/2018
Last updated
08/30/2018
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