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Individual

MS. EILEEN SALMANSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
770 BOYLSTON ST APT 18J, BOSTON, MA 02199-7716
(617) 759-2145
(508) 832-2111
Mailing address
770 BOYLSTON ST APT 18J, BOSTON, MA 02199-7716
(617) 759-2145
(508) 832-2111

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022485
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
516490613
UNITED BEHAVIORAL HEALTH
MA
01
P06612
BLUE SHIELD OF MA
MA
Enumeration date
03/01/2007
Last updated
07/12/2012
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