Individual
ELIZABETH LAURA BRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
10 PLYMOUTH RD, LEXINGTON, MA 02421-5811
(781) 863-8165
Mailing address
10 PLYMOUTH RD, LEXINGTON, MA 02421-5811
(781) 863-8165
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105001
MA
Other
Enumeration date
01/05/2019
Last updated
01/05/2019
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