Individual
ALFONSO A PERILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1 ESSEX CENTER DR, PEABODY, MA 01960-2901
(781) 744-8000
Mailing address
1 ESSEX CENTER DR, PEABODY, MA 01960-2901
(781) 744-8000
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117264
MA
Other
Enumeration date
09/04/2018
Last updated
09/29/2021
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