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NPI Code Detail

MEDICARE: MR. GEORGE E SAWIN LICSW

MEDICARE:  MR. GEORGE E SAWIN  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
1101YM0800XMental Health Counselor114238MA

General Provider Information

NPI Number : 1649489980
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GEORGE E SAWIN LICSW
Provider Business Mailing Address
First Line : 11 RIVER ST STE 1
Second Line :
City : WELLESLEY HILLS
State : MA
Zip : 02481-2015
Country : US
Telephone Number : 617-285-7673
Fax Number : 617-254-6654
Provider Business Practice Location Address
First Line : 11 RIVER ST STE 1
Second Line :
City : WELLESLEY HILLS
State : MA
Zip : 02481-2015
Country : US
Telephone Number : 617-285-7673
Fax Number : 617-254-6654
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 11/06/2023

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Directions to “ MR. GEORGE E SAWIN LICSW” Practice Location

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