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NPI Code Detail

MEDICARE: LAURIE BETH SANTOS LICSW

MEDICARE: LAURIE BETH SANTOS LICSW
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
11041C0700XClinical Social Worker113390MA

General Provider Information

NPI Number : 1518988245
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE BETH SANTOS LICSW
Provider Business Mailing Address
First Line : 800 CUMMINGS CTR STE 266T
Second Line :
City : BEVERLY
State : MA
Zip : 01915-6172
Country : US
Telephone Number : 978-921-1190
Fax Number : 978-927-3724
Provider Business Practice Location Address
First Line : 800 CUMMINGS CTR STE 266T
Second Line :
City : BEVERLY
State : MA
Zip : 01915-6172
Country : US
Telephone Number : 978-921-1190
Fax Number : 978-927-3724
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2006
Last Update Date : 07/08/2007

Similar Medicare Providers

1669315446 — MR. QUINLAN KELLY
Practice Location Address:
800 CUMMINGS CTR STE 266T
BEVERLY, MA
01915-6172
Practice Phone: 978-921-1190
Practice Fax:
1154302586 — NORTHEAST BEHAVIORAL HEALTH CORPORATION
Practice Location Address:
800 CUMMINGS CENTER , SUITE 266T
BEVERLY, MA
01915-6172
Practice Phone: 978-921-1190
Practice Fax: 978-927-3724
1285642942 — MS. CHRISTINE R CYR N.P.
Practice Location Address:
800 CUMMINGS CTR STE 266T
BEVERLY, MA
01915-6172
Practice Phone: 978-921-1190
Practice Fax: 978-927-3724
1174608103 — MRS. EMILY B COTE LMHC
Practice Location Address:
800 CUMMINGS CTR STE 266T
BEVERLY, MA
01915-6172
Practice Phone: 978-921-1190
Practice Fax:
1174765440 — C KAY WALSH MS, ATR
Practice Location Address:
800 CUMMINGS CTR STE 266T
BEVERLY, MA
01915-6172
Practice Phone: 978-921-1190
Practice Fax: 978-927-3724
1588891964 — MS. ALICIA MARIE CASEY LICSW
Practice Location Address:
800 CUMMINGS CTR STE 266T
BEVERLY, MA
01915-6172
Practice Phone: 978-921-1190
Practice Fax: 978-927-3724

Directions to “ LAURIE BETH SANTOS LICSW” Practice Location

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