Individual
JULIE CLERGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 CENTRE ST, JAMAICA PLAIN, MA 02130-3445
(617) 524-3116
Mailing address
7 MAIN ST APT 206, BROCKTON, MA 02301-4090
(781) 652-1191
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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