MARK JACOB LONGSJO

BROCKTON, MA
NPI1013949809
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  1026908)
Enumeration Date2006-07-06
Last Update Date2007-07-08
Business Address
-- MARK JACOB LONGSJO LICSW
MCLEAN HOSPITAL SOUTHEAST LOCATION 940 BELMONT STREET
BROCKTON, MA 02301
Phone number: 508-894-8320
Mailing Address
-- MARK JACOB LONGSJO LICSW
115 MILL ST
BELMONT, MA 02478-1041
Phone number: 508-894-8320
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