Individual
AMY FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
240 ELM ST., 2ND FLOOR #181, SOMERVILLE, MA 02144
(781) 745-2783
Mailing address
240 ELM ST., 2ND FLOOR #181, SOMERVILLE, MA 02144
(781) 745-2783
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
122311
MA
1041C0700X
Clinical Social Worker
18608
FL
Other
Enumeration date
08/18/2014
Last updated
10/27/2023
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