Individual
SANDY A. NOVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40 WILLIAMS ST APT 405, BROOKLINE, MA 02446-2846
(617) 734-5852
Mailing address
40 WILLIAMS ST APT 405, BROOKLINE, MA 02446-2846
(617) 734-5852
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1029680
MA
1041C0700X
Clinical Social Worker
1029680
MA
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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