Individual
CHERYL R BORRELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2020 CENTRE ST, WEST ROXBURY, MA 02132-3316
(781) 437-1323
Mailing address
39 BROOKSIDE RD, NEEDHAM, MA 02492-1301
(781) 437-1323
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
153821
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1312677
—
MA
01
—
685661
TUFTS
MA
01
—
M18708
BLUE CROSS
MA
Enumeration date
02/26/2007
Last updated
07/08/2007
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