Individual
AUDREY RUBIN NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
372 WASHINGTON ST, WELLESLEY, MA 02481-6202
(781) 239-3550
(781) 239-3272
Mailing address
372 WASHINGTON ST, WELLESLEY, MA 02481-6202
(781) 239-3550
(781) 239-3272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106301
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
715605
TUFTS HEALTH PLAN
MA
01
—
P04864
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
08/25/2006
Last updated
07/08/2007
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