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Organization

ACTIVATED BY WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIVIEN ROMAN-HAMPTON LICSW (OWNER/MENTAL HEALTH THERAPIST)
(617) 871-9807
Entity
Organization

Contact information

Practice address
66 WASHINGTON ST, NORTH EASTON, MA 02356-1012
(617) 871-9807
(617) 419-1055
Mailing address
PO BOX 254, MIDDLEBORO, MA 02346-0254
(617) 871-9807
(617) 419-1055

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119767
MA

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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