Individual
JAMES DANDREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(413) 539-7709
Mailing address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NA
—
Enumeration date
09/05/2017
Last updated
09/05/2017
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