Individual
ANDREA L LYNCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51 TACONIC AVE, LENOX, MA 01240-2348
(413) 637-1300
(866) 230-7304
Mailing address
51 TACONIC AVE, LENOX, MA 01240-2348
(413) 637-1300
(866) 230-7304
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111701-SW-LICSW
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111701-SW-LICSW
DEPT OF PROFESSIONAL LICENSURE
MA
Enumeration date
09/05/2019
Last updated
09/05/2019
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