Individual
LAUREN B ENOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
18 NEWTON ST, BROCKTON, MA 02301-5115
(617) 571-4481
Mailing address
72 VILLAGE DR, QUINCY, MA 02169-0942
(617) 571-4481
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
213597
MA
Other
Enumeration date
08/27/2008
Last updated
08/27/2008
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