MS. Mimi Sohn Licht, LICSW, BCD
NPI #1700811528 in Wayland, Massachusetts
Provider Information
- NPI Number
- 1700811528
- Entity Type
- Individual
- Name
- MS. Mimi Sohn Licht, LICSW, BCD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW, BCD
- Enumeration Date
- Jul 11, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 219 CONCORD RD
- City
- Wayland
- State
- Massachusetts
- ZIP Code
- 01778-1207
- Phone
- (508) 358-5706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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