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Individual

MS. PATIENCE SAMPSON

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
262 BEACON STREET, BOSTON, MA 02116
(617) 262-6269
(617) 536-5665
Mailing address
1723 WASHINGTON STREET, UNIT 601, BOSTON, MA 02118
(617) 262-6269
(617) 536-5665

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101757
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P03525
BCBS
MA
Enumeration date
04/21/2006
Last updated
07/08/2007
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