Individual
AVA FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 FRANCIS STREET, BOSTON, MA 02115
(617) 525-6915
Mailing address
17 BOWDOIN STREET, 1, CAMBRIDGE, MA 02138
(301) 651-4606
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW230659
MA
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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