Individual
ELISABETH MARCUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
61 MEDFORD ST, SOMERVILLE, MA 02143-3421
(617) 628-8235
Mailing address
41 JEROME ST, MEDFORD, MA 02155-6713
(617) 283-2221
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
122375
MA
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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