Kristie Demirev, LICSW

NPI #1497027643 in Wilmington, Massachusetts

Provider Information

NPI Number: 1497027643
Entity Type: Individual
Name: Kristie Demirev, LICSW
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Feb 3, 2012
Last Updated: Sep 13, 2012

Practice Location

Address: 113 WEST ST
City: Wilmington
State: Massachusetts
ZIP Code: 01887
Phone: (617) 501-8312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary
Social Worker - Clinical — Clinical	1041C0700X

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