Elisa J Ercolini, LICSW

NPI #1467931105 in Fitchburg, Massachusetts

Provider Information

NPI Number: 1467931105
Entity Type: Individual
Name: Elisa J Ercolini, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LICSW
Enumeration Date: Aug 13, 2018
Last Updated: Aug 13, 2018

Practice Location

Address: 531 HIGH ROCK RD
City: Fitchburg
State: Massachusetts
ZIP Code: 01420-1554
Phone: (978) 868-6369

Specialties & Taxonomy Codes

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

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