Individual
AMANNDA DEPAOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
29 WESCOTT ST, MALDEN, MA 02148-4611
(781) 388-0882
Mailing address
29 WESCOTT ST, MALDEN, MA 02148-4611
(781) 388-0882
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117250
MA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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