Elise Block Gottesman, LICSW

NPI #1003110032 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1003110032
Entity Type: Individual
Name: Elise Block Gottesman, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Jan 5, 2011
Last Updated: Jan 5, 2011

Practice Location

Address: 75 BICKFORD ST
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-1401
Phone: (617) 971-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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