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Individual

MS. TASHA NICOLE BAIZERMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
396 NORTHAMPTON ST, BOSTON, MA 02118-3502
(617) 635-9832
Mailing address
62 EVERETT ST APT 1, EAST BOSTON, MA 02128-2104
(339) 222-2428

Taxonomy

Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
115271
MA

Other

Enumeration date
09/13/2018
Last updated
09/13/2018
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