Individual
AMY KENEALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
384 WASHINGTON ST, NORWELL, MA 02061-2010
(781) 659-0001
Mailing address
384 WASHINGTON ST, NORWELL, MA 02061-2010
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
220004
MA
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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