Individual
MRS. JENNIFER SUSAN FAMIGLIETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
275 WOOD STREET, LEXINGTON, MA 02421-6425
(781) 862-1986
Mailing address
275 WOOD ST, LEXINGTON, MA 02421-6425
(781) 862-1986
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110983
MA
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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