Individual
LISA COLAGIOVANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 HILLSIDE AVE., CONCORD, MA 01742
(617) 571-0359
Mailing address
54 HILLSIDE AVE, CONCORD, MA 01742-2823
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1026251-SW-LICSW
MA
Other
Enumeration date
09/30/2018
Last updated
09/30/2018
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