JOHN AUGUSTUS NORTHRIDGE

SOUTH BOSTON, MA
NPI1174586168
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  105237)
Enumeration Date2006-04-10
Last Update Date2007-07-08
Business Address
-- JOHN AUGUSTUS NORTHRIDGE LICSW
58 OLD COLONY AVE
SOUTH BOSTON, MA 02127-2406
Phone number: 617-268-1700
Mailing Address
-- JOHN AUGUSTUS NORTHRIDGE LICSW
11 ORCHARD RD
WEYMOUTH, MA 02190-1636
Phone number: 781-335-6104
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