Emma Banevicius

NPI #1982119657 in Roxbury, Massachusetts

Provider Information

NPI Number: 1982119657
Entity Type: Individual
Name: Emma Banevicius
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 4, 2017
Last Updated: Jan 11, 2024

Practice Location

Address: 17 GREENVILLE ST
City: Roxbury
State: Massachusetts
ZIP Code: 02119-2315
Phone: (617) 587-0730

Specialties & Taxonomy Codes

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

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