Most Relevant Information
Provider Data
| NPI Number: | 1003390360 |
| Provider Name: | BRIAN JUKINS LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/21/2018 |
| Last Updated: | 08/21/2020 |
Provider Practice Location
67 S BEDFORD ST STE 400 WEST
BURLINGTON
MA
018035108
Practice Location Phone/Fax
| Phone: | 7812295874 |
| Fax: |
Provider Mailing Location
67 S BEDFORD ST STE 400 WEST
BURLINGTON
MA
018035108
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |