ERIC PEGNAM

BOSTON, MA
NPI1053595389
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  111234)
Enumeration Date2007-12-21
Last Update Date2007-12-21
Business Address
-- ERIC PEGNAM LICSW
77B WARREN ST
BOSTON, MA 02135-3601
Phone number: 617-787-1901
Mailing Address
-- ERIC PEGNAM LICSW
77B WARREN ST
BOSTON, MA 02135-3601
Phone number: 617-787-1901
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