Individual
AMY R ITZKOVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1493 CAMBRIDGE ST, MACHT BUILDING, CAMBRIDGE, MA 02139-1047
(617) 665-5723
Mailing address
1493 CAMBRIDGE ST, MACHT BUILDING, CAMBRIDGE, MA 02139-1047
(617) 665-5723
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1030151
MA
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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