Individual
MISS ALICIA MEMENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
22 HIGH ST, BROOKLINE, MA 02445-7713
(857) 364-0255
Mailing address
223 ESSEX ST APT 43, MELROSE, MA 02176-3183
(617) 669-9658
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111579
MA
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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