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Individual

MR. JACK GOLDEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.I.C.S.W.

Contact information

Practice address
364 HARVARD ST, BROOKLINE, MA 02446-2920
(617) 277-3490
(617) 738-2934
Mailing address
79 STEDMAN ST, SUITE 2, BROOKLINE, MA 02446-6008
(617) 277-3490
(617) 738-2924

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
100190
MA

Other

Enumeration date
12/15/2006
Last updated
07/08/2007
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