Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 1032611 | MA |
NPI | 1003008939 |
---|---|
Provider Name | Susan Paladino |
First Address | Chestnut Hill, MA 02467-1141 |
Second Address | Chestnut Hill, MA 02467-1141 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2007 |
Last Update Date | 14/08/2007 |