Individual
MRS. JULIE ELIZABETH FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
251 WALTHAM ST, LEXINGTON, MA 02421-4903
(781) 861-2320
Mailing address
251 WALTHAM ST, LEXINGTON, MA 02421-4903
(781) 861-2320
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1017567
MA
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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