Ivelisse Vicente, LCSW

NPI #1477818532 in West Springfield, Massachusetts

Provider Information

NPI Number: 1477818532
Entity Type: Individual
Name: Ivelisse Vicente, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Jul 5, 2012
Last Updated: Mar 18, 2016

Practice Location

Address: 103 MYRON ST
Address 2: SUITE A
City: West Springfield
State: Massachusetts
ZIP Code: 01089-1598
Phone: (413) 592-1980

Specialties & Taxonomy Codes

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

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