Individual
MARYBETH BARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
850 HARRISON AVE, BOSTON, MA 02118-4001
(617) 638-7062
Mailing address
850 HARRISON AVE, BOSTON, MA 02118-4001
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
206017
MA
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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