Individual
ALICIA R BOLOGNESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
41 MASON ST, SALEM, MA 01970-2260
(978) 744-1585
(978) 744-1379
Mailing address
43 MARION RD, MARBLEHEAD, MA 01945-1756
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116767
MA
Other
Enumeration date
03/29/2013
Last updated
03/29/2013
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