Edwige Berrouet, LICSW
Social Worker, Clinical in Boston, MA. Individual provider (NPI-1).
NPI number1104886597
StatusActive
Last updated in NPPESFeb 25, 2015
Details
- NPI
- 1104886597
- Entity type
- Individual (NPI-1)
- Name
- Edwige Berrouet
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 28, 2006
- Last updated
- Feb 25, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 116803 | MA | Yes |
Practice location
1 Boston Medical Ctr PlBoston, MA 02118-2908
Phone 617-414-5245 · Fax 617-638-6836
Mailing address
720 Harrison AveDob 503
Boston, MA 02118-2371
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