Individual
MS. DEBORAH FAITH MENDLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
19 FRONT ST, STE 204, SALEM, MA 01970-3795
(978) 239-4563
Mailing address
4C RUSSELL DR, SALEM, MA 01970
(978) 239-4563
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1029208
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107561
UBH
—
01
—
248108000
HARVARD PILGRIM
—
01
—
P07737
BCBS
—
Enumeration date
09/27/2006
Last updated
08/05/2021
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