Individual
ANDREW AVAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
105 CHAUNCY ST STE 602, BOSTON, MA 02111-1726
(617) 467-0521
(617) 467-0521
Mailing address
349 BROADWAY, CAMBRIDGE, MA 02139-1715
(617) 467-0521
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
220578
MA
Other
Enumeration date
10/24/2017
Last updated
10/24/2017
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