Provider Demographics
NPI:1548745102
Name:BRAMBLE DALEY, CYNTHIA C (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:C
Last Name:BRAMBLE DALEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:453 OAK ST
Mailing Address - Street 2:
Mailing Address - City:WESTWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02090-3222
Mailing Address - Country:US
Mailing Address - Phone:781-929-5271
Mailing Address - Fax:
Practice Address - Street 1:264 BAY STATE RD
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-1403
Practice Address - Country:US
Practice Address - Phone:617-353-4769
Practice Address - Fax:617-353-5612
Is Sole Proprietor?:No
Enumeration Date:2018-09-30
Last Update Date:2018-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10196161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical