Individual
DONNA MORIARTY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 RADCLIFFE RD, BELMONT, MA 02478-3340
(617) 484-0937
Mailing address
84 RADCLIFFE RD, BELMONT, MA 02478-3340
(617) 484-0937
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1017842
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017942
SW LICENSE
MA
Enumeration date
08/29/2018
Last updated
08/29/2018
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