Organization
ROBYN ISMAN, LICSW INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN ISMAN LICSW (LICSW)
(781) 343-1008
Entity
Organization
Contact information
Practice address
429 WARREN ST, NEEDHAM, MA 02492-2859
(518) 441-3996
Mailing address
429 WARREN ST, NEEDHAM, MA 02492-2859
(518) 441-3996
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120045
LICSW
MA
Enumeration date
03/07/2019
Last updated
03/07/2019
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