Individual
MS. CHRISTINE FAHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
35 ELM ST, MEDFORD, MA 02155-1006
(617) 771-7807
Mailing address
35 ELM ST, MEDFORD, MA 02155-1006
(617) 771-7807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1024031
MA
Other
Enumeration date
09/05/2018
Last updated
09/05/2018
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