Individual
ANNA L MANCUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 BOSTON MEDICAL CTR PL, BOSTON, MA 02118-2908
(617) 414-5245
(617) 638-6836
Mailing address
720 HARRISON AVE, DOB 503, BOSTON, MA 02118-2371
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117136
MA
Other
Enumeration date
06/14/2010
Last updated
02/27/2017
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