Individual
CARMENLEAH MCKENZIE-ASCENCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
3464 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2665
(781) 436-0116
Mailing address
3464 WASHINGTON ST, JAMAICA PLAIN, MA 02130-2665
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119273
MA
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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