Individual
ALLEGRA WELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 CUMMINGS CTR STE 451C, BEVERLY, MA 01915-6132
(800) 225-0634
Mailing address
575 BEECH ST, HOLYOKE, MA 01040-2223
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121207
MA
Other
Enumeration date
03/03/2016
Last updated
07/15/2020
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