Individual
BRIDGET M LALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
405 WASHINGTON ST, HANOVER, MA 02339-3212
(609) 439-2388
Mailing address
32 CUSHMAN RD, BRIGHTON, MA 02135-2209
(609) 439-2388
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118278
MA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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