Robert Lafollette, LICSW
Social Worker, Clinical in Somerville, MA. Individual provider (NPI-1).
NPI number1982181053
StatusActive
Last updated in NPPESMay 29, 2020
Details
- NPI
- 1982181053
- Entity type
- Individual (NPI-1)
- Name
- Robert Lafollette
- Credential
- LICSW
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2018
- Certification date
- May 29, 2020
- Last updated
- May 29, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 117894 | MA | Yes |
Practice location
61 Inner Belt RdSomerville, MA 02143
Phone 617-610-6904
Mailing address
61 Innerbelt RdSomerville, MA 02143-4416
Phone 617-610-6904
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