Individual
BONNIE NESSANBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1565 MAIN ST, BLD.2 ROOM 206, TEWKSBURY, MA 01876-2085
(617) 628-3555
(617) 288-3910
Mailing address
38 PICKNEY ST, SOMERVILLE, MA 02145
(617) 628-3555
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1016620
MA
Other
Enumeration date
01/18/2006
Last updated
12/03/2009
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