Individual
BREE PASTERNACK ANTONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
600 WASHINGTON ST FL 6, BOSTON, MA 02111-1704
(617) 748-2163
Mailing address
600 WASHINGTON ST FL 6, BOSTON, MA 02111-1704
(617) 748-2163
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110826-SW-LICSW
MA
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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