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Individual

MRS. LISA FITZSIMMONS PIERCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW, LCSW-R

Contact information

Practice address
3 CONCORD AVE APT 42, CAMBRIDGE, MA 02138-3616
(617) 945-5190
(617) 945-5190
Mailing address
3 CONCORD AVE APT 42, CAMBRIDGE, MA 02138-3616
(917) 952-7302
(617) 945-5190

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
R056926
NY
1041C0700X
Clinical Social Worker
115466
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
225568
MANAGED HEALTH NETWORK
NY
01
P3539023
OXFORD
NY
01
R056926 N01
HIP
NY
Enumeration date
05/13/2006
Last updated
03/25/2010
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