Individual
HEIDI JAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
191 BONAD RD, CHESTNUT HILL, MA 02467-3603
(617) 285-4446
Mailing address
191 BONAD RD, CHESTNUT HILL, MA 02467-3603
(617) 285-4446
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114245
MA
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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