Individual
KRISTIE DEMIREV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
113 WEST ST, WILMINGTON, MA 01887
(617) 501-8312
Mailing address
113 WEST ST, WILMINGTON, MA 01887
(617) 501-8312
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
216315
MA
1041C0700X
Clinical Social Worker
117111
MA
Other
Enumeration date
02/03/2012
Last updated
09/13/2012
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