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NPI Code Detail

MEDICARE: MS. LAUREN BADOLATO LICSW

MEDICARE: MS. LAUREN BADOLATO 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 Worker114562MA

General Provider Information

NPI Number : 1881740017
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAUREN BADOLATO LICSW
Provider Business Mailing Address
First Line : 16 WYMAN RD
Second Line :
City : WESTMINSTER
State : MA
Zip : 01473-1601
Country : US
Telephone Number : 978-874-6427
Fax Number :
Provider Business Practice Location Address
First Line : 16 WYMAN RD
Second Line :
City : WESTMINSTER
State : MA
Zip : 01473-1601
Country : US
Telephone Number : 978-874-6427
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 02/23/2010

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Directions to “ MS. LAUREN BADOLATO LICSW” Practice Location

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