Individual
AUTUMN HAIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
200 SPRINGS RD, 122, BEDFORD, MA 01730-1114
(781) 825-5814
(781) 687-3422
Mailing address
200 SPRINGS RD, 122, BEDFORD, MA 01730-1114
(781) 825-5814
(781) 687-3422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
220897
MA
Other
Enumeration date
03/24/2017
Last updated
03/24/2017
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