Individual
DANIELLE LUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1430 MAIN ST, WALTHAM, MA 02451-1623
(781) 357-7094
Mailing address
3 CUFFLIN ST APT 2, BRIGHTON, MA 02135-2442
(617) 529-2097
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
225168
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225168
MA BOARD OF SOCIAL WORKERS
MA
Enumeration date
06/25/2021
Last updated
06/25/2021
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