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Evelyn Tacy Burdick
Mental Health Counselor in Boston, Massachusetts
NPI 1366223794

Evelyn Tacy Burdick is a Mental Health Counselor based in Boston, MA and is specialized in Mental Health. Evelyn Tacy Burdick practices in Boston, MA. The NPI Number for Evelyn Tacy Burdick is 1366223794 and holds a License No. (Massachusetts).

The current practice location address for Evelyn Tacy Burdick is 112 Water St Ste 203, Boston, MA and can be reached out via phone at 617-882-7447.

Location: 112 Water St Ste 203, Boston, MA, 02134-3604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366223794
Provider Name
Evelyn Tacy Burdick
Credential
Provider Entity Type
Individual
Gender
Female
Address
112 Water St Ste 203, Boston, MA, 02134-3604
Phone Number
617-882-7447
Fax Number
Provider Enumeration Date
10/11/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
112 Water St Ste 203
City
Boston
State
Massachusetts
Zip
02109-4225
Phone Number
617-882-7447
Fax Number
person
Provider Business Mailing Address Details
Address
112 Water St Ste 203
City
Boston
State
Massachusetts
Zip
02109-4225
Phone Number
617-882-7447
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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