Michael Lodge JR., MSW
NPI #1992128706 in Dorchester Center, Massachusetts
Provider Information
- NPI Number
- 1992128706
- Entity Type
- Individual
- Name
- Michael Lodge JR., MSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- MSW
- Enumeration Date
- Jan 30, 2014
- Last Updated
- Jan 30, 2014
Practice Location
- Address
- 34 FAIRMOUNT ST
- State
- Massachusetts
- ZIP Code
- 02124-4602
- Phone
- (617) 669-5589
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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