Individual
MRS. ANNETTE M BERSON-SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
800 CUMMINGS CTR, SUITE 266T, BEVERLY, MA 01915-6175
(978) 921-1190
Mailing address
9 PAMELA LN, AMESBURY, MA 01913-1007
(617) 413-0376
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114601
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000903401
MEDICARE
MA
Enumeration date
07/21/2006
Last updated
06/09/2009
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