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NPI Code Detail

MEDICARE: MRS. SARAH ANDREOTTA LICSW

MEDICARE: MRS. SARAH ANDREOTTA 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 Worker117877MA

General Provider Information

NPI Number : 1639667025
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH ANDREOTTA LICSW
Provider Business Mailing Address
First Line : 300 SOUTH ST
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3694
Country : US
Telephone Number : 617-676-3366
Fax Number : 617-676-3426
Provider Business Practice Location Address
First Line : 300 SOUTH ST
Second Line :
City : CHESTNUT HILL
State : MA
Zip : 02467-3694
Country : US
Telephone Number : 617-676-3366
Fax Number : 617-676-3426
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2018
Last Update Date : 05/01/2018

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Directions to “ MRS. SARAH ANDREOTTA LICSW” Practice Location

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