Individual
DR. EDWARD LISTON KRAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1153 CENTRE STREET, BOSTON, MA 02130
(617) 983-7928
(617) 983-7231
Mailing address
50 DELANO AVENUE, REVERE, MA 02151
(617) 983-7928
(617) 983-7231
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW104389
MA
Other
Enumeration date
11/20/2006
Last updated
07/08/2007
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