MEDICARE: MRS. TONYA CHRISTINE STRAND LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	214085	MA

General Provider Information

NPI Number	:	1043439896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TONYA CHRISTINE STRAND LCSW

Provider Business Mailing Address
First Line	:	30 ESSEX ST
Second Line	:
City	:	SALEM
State	:	MA
Zip	:	01970-5210
Country	:	US
Telephone Number	:	978-927-9410
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 RANTOUL ST
Second Line	:	SUITE 200
City	:	BEVERLY
State	:	MA
Zip	:	01915-4822
Country	:	US
Telephone Number	:	978-927-9410
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2007
Last Update Date	:	07/08/2007

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