MS. Dominique Stassart, MSW,LICSW
NPI #1023174141 in Cambridge, Massachusetts
Provider Information
- NPI Number
- 1023174141
- Entity Type
- Individual
- Name
- MS. Dominique Stassart, MSW,LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW,LICSW
- Enumeration Date
- Jan 1, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 22 LEONARD AVE
- Address 2
- #2
- City
- Cambridge
- State
- Massachusetts
- ZIP Code
- 02139-1020
- Phone
- (617) 784-8163
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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