Individual
ALICE WILLA KANTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
191 MERRIMACK ST FL 5, HAVERHILL, MA 01830-6112
(617) 833-7143
Mailing address
191 MERRIMACK ST FL 5, HAVERHILL, MA 01830-6112
(617) 833-7143
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114486
MA
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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