Wayside Youth & Family Support Network

NPI #1104977131 in Malden, Massachusetts

Provider Information

NPI Number: 1104977131
Entity Type: Organization
Organization Name: Wayside Youth & Family Support Network
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jan 16, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 22 PLEASANT ST
Address 2: 2205
City: Malden
State: Massachusetts
ZIP Code: 02148-5119
Phone: (781) 338-2640

Authorized Official

Name: MS. ANDREA SALZMAN, LICSW
Title: DIRECTOR OF HOME BASE PROGRAM
Phone: (781) 891-0556

Specialties & Taxonomy Codes

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

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