Individual
CATHERINE YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 TUFTS ST, CHARLESTOWN, MA 02129-2711
(857) 238-1195
Mailing address
10 PARSONAGE RD STE 318, EDISON, NJ 08837-2429
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
228207
MA
106S00000X
Behavior Technician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228207
DIVISION OF OCCUPATIONAL LICENSURE, BOARD OF SOCIAL WORKERS
MA
Enumeration date
12/18/2019
Last updated
09/22/2022
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