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Mr. LONG GIA BANH -- LCSW, MSW

Individual Provider (NPI-1) Active

Social Worker, Clinical

Provider Information

NPI Number
1538334503
Provider Type
Individual Provider (NPI-1)
Credentials
LCSW, MSW
Status
Active

Contact & Location

Address
1115 W CHESTNUT ST, BROCKTON, MA, 023017501
Phone
(978) 453-6800

Specialties & Taxonomies

Social Worker, Clinical License: CA #23682
Social Worker, Clinical Primary License: MA #215938

All Addresses

LOCATION

1115 W CHESTNUT ST

BROCKTON, MA, 023017501

(978) 453-6800

MAILING

PO BOX 9691

LOWELL, MA, 018539691