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1487773404
ELISABETH VAN DER KOLK
WATERTOWN, MA
NPI
1487773404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 102645)
Enumeration Date
2007-03-29
Last Update Date
2013-07-24
Business Address
Ms. ELISABETH VAN DER KOLK L.I.C.S.W.
23 MAIN ST
WATERTOWN, MA 02472-4403
Phone number: 617-312-4116
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Mailing Address
Ms. ELISABETH VAN DER KOLK L.I.C.S.W.
156 GREEN STREET #301
JAMAICA PLAIN, MA 02130
Phone number: 617-312-4116
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