Bonnie Nessanbaum, LICSW
NPI #1669452462 in Tewksbury, Massachusetts
Provider Information
- NPI Number
- 1669452462
- Entity Type
- Individual
- Name
- Bonnie Nessanbaum, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Jan 18, 2006
- Last Updated
- Dec 3, 2009
Practice Location
- Address
- 1565 MAIN ST
- Address 2
- BLD.2 ROOM 206
- City
- Tewksbury
- State
- Massachusetts
- ZIP Code
- 01876-2085
- Phone
- (617) 628-3555
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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