ALLEN MARK SPIVACK

ROXBURY, MA
NPI1417240706
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  1029802)
Enumeration Date2011-05-19
Last Update Date2011-05-19
Business Address
Mr. ALLEN MARK SPIVACK LICSW
55 DIMOCK ST ROOM 309
ROXBURY, MA 02119-1029
Phone number: 617-442-8800
Mailing Address
Mr. ALLEN MARK SPIVACK LICSW
55 DIMOCK ST ROOM 309
ROXBURY, MA 02119-1029
Phone number: 617-442-8800
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