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Individual

AUSTIN S LIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LICSW, LMT, RYT

Contact information

Practice address
8 SAINT PAUL ST, CAMBRIDGE, MA 02139-2506
(617) 331-9723
Mailing address
8 SAINT PAUL ST, CAMBRIDGE, MA 02139-2506
(617) 331-9723

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
115888
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
115888
LICSW
MA
01
426321
DOE-LICENSED SCHOOL SOCIAL WORKER
MA
01
8176
LMT
MA
Enumeration date
02/08/2007
Last updated
09/01/2010
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