Individual
ANA LUIZA ARCHIBALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
160 STATE ST FL 3, BOSTON, MA 02109-2540
(617) 410-4902
Mailing address
37 GOLDSMITH ST # 1, BOSTON, MA 02130-3121
(617) 413-5898
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
117796
MA
Other
Enumeration date
06/12/2018
Last updated
06/12/2018
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