Individual
DAVID HARVEY WIZANSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
45 BARTLETT CRES, BROOKLINE, MA 02446-2220
(617) 277-1805
(617) 277-0106
Mailing address
12 LINCOLN RD, BROOKLINE, MA 02445-6841
(617) 921-5741
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
101956
MA
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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