Individual
DALE I LABONTE URBINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1135 MORTON ST, MATTAPAN, MA 02126
(617) 533-2400
(617) 533-2401
Mailing address
1135 MORTON ST, MATTAPAN, MA 02126-2834
(617) 533-2400
(617) 533-2401
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118066
MA
1041C0700X
Clinical Social Worker
216342
MA
Other
Enumeration date
10/20/2010
Last updated
06/07/2018
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