Latease Alexis Guilderson, LCSW
Social Worker in Hyde Park, MA. Individual provider (NPI-1).
NPI number1336715481
StatusActive
Last updated in NPPESMay 30, 2021
Details
- NPI
- 1336715481
- Entity type
- Individual (NPI-1)
- Name
- Latease Alexis Guilderson
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 30, 2021
- Certification date
- May 30, 2021
- Last updated
- May 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 226835 | MA | Yes |
Other names
- Latease Alexis Adams (Former Name)
Practice location
56 Hamilton StHyde Park, MA 02136-2318
Phone 617-953-4395
Mailing address
56 Hamilton StHyde Park, MA 02136-2318
Phone 617-953-4395
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All 9 Social Worker providers in Hyde Park · All 496 providers in Hyde Park
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