Organization
ANN MARIE E. IDE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE E. IDE LICSW (PSYCHOTHERAPIST)
(617) 875-6031
Entity
Organization
Contact information
Practice address
1330 BEACON ST STE 258, BROOKLINE, MA 02446-3200
(617) 875-6031
(617) 734-6385
Mailing address
1330 BEACON ST STE 258, BROOKLINE, MA 02446-3200
(617) 875-6031
(617) 734-6385
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115559
MA
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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