Individual
MS. ALISA BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
585 LEBANON ST, MELROSE WAKEFIELD HOSITAL-PSYCH TRIAGE, MELROSE, MA 02176-3225
(781) 306-6256
(781) 306-6242
Mailing address
585 LEBANON ST, MELROSE WAKEFIELD HOSITAL-PSYCH TRIAGE, MELROSE, MA 02176-3225
(781) 306-6256
(781) 306-6242
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116071
MA
Other
Enumeration date
08/07/2008
Last updated
01/12/2011
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