Individual
MIRIAM GREENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
99 CHURCH ST, LOWELL, MA 01852-2621
(978) 458-6282
(978) 441-9826
Mailing address
PO BOX 948, MEDFORD, MA 02155-0010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1305638
—
MA
Enumeration date
08/15/2012
Last updated
09/12/2013
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