Individual
BONNIE YEZUKEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1920 CENTRE ST, WEST ROXBURY, MA 02132-2513
(617) 694-5201
Mailing address
117 N WORCESTER ST, NORTON, MA 02766-2046
(617) 694-5201
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115337
MA
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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