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1003110032
ELISE BLOCK GOTTESMAN
JAMAICA PLAIN, MA
NPI
1003110032
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 111929)
Enumeration Date
2011-01-05
Last Update Date
2011-01-05
Business Address
-- ELISE BLOCK GOTTESMAN LICSW
75 BICKFORD ST
JAMAICA PLAIN, MA 02130-1401
Phone number: 617-971-2100
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Mailing Address
-- ELISE BLOCK GOTTESMAN LICSW
75 BICKFORD ST
JAMAICA PLAIN, MA 02130-1401
Phone number: 617-971-2100
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