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Contact Information

635 COMMUNITY HEALTH COLLECTIVE
209 WACHUSETT ST APT 1
JAMAICA PLAIN, MA02130-4233
 Phone: 801-441-0176
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for 635 COMMUNITY HEALTH COLLECTIVE · (Female)

NPI # 1558074088
Status Active
Credentials
Entity Individual
Enumeration date 12/29/2022
Last updated 12/29/2022 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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