LORRAINE BETWENIK GOTLIB

SOMERVILLE, MA
NPI1396799755
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WP0809X Registered Nurse Psychiatric/Mental Health, Adult
(Licence: MA  116590)
Enumeration Date2006-05-20
Last Update Date2009-04-07
Business Address
LORRAINE BETWENIK GOTLIB RNCS
40 HOLLAND ST
SOMERVILLE, MA 02144-2705
Phone number: 617-629-6180
Mailing Address
LORRAINE BETWENIK GOTLIB RNCS
147 MILK ST PROVIDER ENROLLMENT 9TH FLOOR
BOSTON, MA 02109-4806
Phone number: 617-559-8051
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