Ann Marie E. Ide

NPI #1811232853 in Brookline, Massachusetts

Provider Information

NPI Number: 1811232853
Entity Type: Organization
Organization Name: Ann Marie E. Ide
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 3, 2012
Last Updated: Dec 3, 2012

Practice Location

Address: 1330 BEACON ST STE 258
City: Brookline
State: Massachusetts
ZIP Code: 02446-3200
Phone: (617) 875-6031

Authorized Official

Name: ANN MARIE E. IDE, LICSW
Title: PSYCHOTHERAPIST
Phone: (617) 875-6031

Specialties & Taxonomy Codes

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

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