Individual
MS. ALICE BENE KOCIEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, BCD
Contact information
Practice address
316 GIFFORD ST UNIT 1, SUITE 1, FALMOUTH, MA 02540-2962
(508) 540-6441
Mailing address
316 GIFFORD ST UNIT 1, SUITE 1, FALMOUTH, MA 02540-2962
(508) 540-6441
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105700
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P03628
BCBS
MA
Enumeration date
03/27/2007
Last updated
07/08/2007
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