ANN MARIE ELIZABETH IDE

BROOKLINE, MA
NPI1588982920
Former NameANN MARIE ELIZABETH GUILLETTE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  115559)
Enumeration Date2010-05-10
Last Update Date2012-12-03
Business Address
-- ANN MARIE ELIZABETH IDE LICSW
41 GARRISON RD
BROOKLINE, MA 02445-4445
Phone number: 617-277-8107
Mailing Address
-- ANN MARIE ELIZABETH IDE LICSW
72 ADDINGTON RD # 2
BROOKLINE, MA 02445-4520
Phone number: 617-513-7103