Latease Alexis Guilderson, LCSW

NPI #1336715481 in Hyde Park, Massachusetts

Provider Information

NPI Number: 1336715481
Entity Type: Individual
Name: Latease Alexis Guilderson, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LCSW
Enumeration Date: May 30, 2021
Last Updated: May 30, 2021

Practice Location

Address: 56 HAMILTON ST
City: Hyde Park
State: Massachusetts
ZIP Code: 02136-2318
Phone: (617) 953-4395

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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