Organization
EAST SIDE COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY R. CRUZ LICSW (MANAGER)
(508) 567-1477
Entity
Organization
Contact information
Practice address
1311 BEDFORD ST, FALL RIVER, MA 02723-2637
(508) 567-1477
(508) 567-6494
Mailing address
1311 BEDFORD ST., FALL RIVE, MA, MA 02723
(508) 567-1477
(598) 567-6494
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1028438
MA
Other
Enumeration date
11/29/2012
Last updated
08/01/2013
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