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MS. CHIPPA ELSIE MARTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1093 BEACON ST, 102, BROOKLINE, MA 02446-5695
(617) 859-1723
(617) 244-2352
Mailing address
6 CARTHAY CIR, NEWTON, MA 02461-1106
(617) 244-2352
(617) 244-2352

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LMHC 1512
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1512
LMHC
MA
01
744
LMFT
MA
Enumeration date
11/06/2006
Last updated
07/08/2007
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