SUSAN CZERNICKA PC
Social Work at Purchase St, New Bedford, MA

License number
Massachusetts 2731
Category
Social Work
Type
Clinical
Owner
Name: DR. SUSAN CZERNICKA EDD
Title: PSYCHOLOGIST
Phone: (617) 835-8175
Address
Address 2
800 Purchase St SUITE 306, New Bedford, MA 02740
1414 Drift Rd, Horseneck Beach, MA 02790
National Provider ID: 1649485590
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUSAN CZERNICKA PC

New Bedford, MA

Status:
Inactive
Industry:
Nonclassifiable Establishments
Registration:
Jan 10, 2000
Addresses:
345 Un St, New Bedford, MA 02740 (Physical)
800 Purchase St, New Bedford, MA 02740
888 Purchase St, New Bedford, MA 02740
State ID:
000688880
Business type:
Professional Corporation
President, Edd, Psychologist:
Susan Czernicka President, Edd, Psychologist, inactive, 1414 Drift Rd, Westport, MA 02790 (Physical)
Agent:
Susan C. Czernicka,1414 Drift Rd, Westport, MA 02790 (Physical)

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