Individual
AMIRA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
15 TUFTS ST, CHARLESTOWN, MA 02129-2711
(857) 238-1100
Mailing address
391 BROADWAY APT 306, SOMERVILLE, MA 02145-2310
(301) 535-4604
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
228414
MA
Other
Enumeration date
06/20/2022
Last updated
08/25/2022
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