Individual
LAURA WILLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
157 GREEN ST, JAMAICA PLAIN, MA 02130-2667
(617) 524-1120
Mailing address
157 GREEN ST, JAMAICA PLAIN, MA 02130
(617) 524-1120
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
218309
MA
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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