MEDICARE: LOUISE PLESHA

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	105456	MA

General Provider Information

NPI Number	:	1639651458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOUISE PLESHA

Provider Business Mailing Address
First Line	:	4 DONALD ST
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-1411
Country	:	US
Telephone Number	:	781-820-3106
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 DONALD ST
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-1411
Country	:	US
Telephone Number	:	781-820-3106
Fax Number	:

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

Provider Enumeration Date	:	08/29/2018
Last Update Date	:	08/29/2018

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Directions to “ LOUISE PLESHA ” Practice Location

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