Individual
MASIELLE PAULINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
64B REGENT ST, ROXBURY, MA 02119-1980
(617) 861-4958
Mailing address
62 LOCUST AVE, WORCESTER, MA 01604-1160
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
227612
MA
Other
Enumeration date
12/22/2021
Last updated
12/22/2021
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