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Individual

BANESSA GONELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW

Contact information

Practice address
618 AMES HILL DR, TEWKSBURY, MA 01876-1165
(978) 609-7308
Mailing address
10 PRIMROSE WAY UNIT 5308, HAVERHILL, MA 01830-3162
(978) 609-7308

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
116747
MA
1041C0700X
Clinical Social Worker
S85881884
MA

Other

Enumeration date
06/01/2009
Last updated
12/06/2019
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