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Individual

EDITH BLOCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
84 HIGH ST STE A6, MEDFORD, MA 02155-3844
(781) 396-0719
Mailing address
84 HIGH ST STE A6, MEDFORD, MA 02155-3844
(781) 396-0719

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
223976
MA

Other

Enumeration date
08/13/2018
Last updated
08/13/2018
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