Individual
DAVID PAUL TACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
85 E NEWTON ST, BOSTON, MA 02118-2841
(617) 626-9220
(617) 626-9216
Mailing address
85 E NEWTON ST, BOSTON, MA 02118-2841
(617) 626-9220
(617) 626-9216
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116881
MA
Other
Enumeration date
09/07/2018
Last updated
09/07/2018
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