IRMA ILUSTRE, MSW, LICSW

Social Worker - Clinical

Active Individual
NPI: 1649329921

Practice Address

170 MAIN ST
UNIT G-02
Tewksbury, MA 01876

Phone: (617) 969-7600

Specialties

Specialty Code Primary License
Social Worker - Clinical 1041C0700X Yes 112172 (MA)

Frequently Asked Questions

NPI 1649329921 is the National Provider Identifier for IRMA ILUSTRE, MSW, LICSW, a Social Worker - Clinical provider located in Tewksbury, MA. This NPI was enumerated on January 9, 2007.
IRMA ILUSTRE, MSW, LICSW practices at 170 MAIN ST, UNIT G-02, Tewksbury, MA 01876.

Quick Facts

NPI
1649329921
Type
Individual
Enumerated
Jan 9, 2007
Last Updated
Mar 18, 2008

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