Individual
MARY LOUISE SECOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 FORDHAM RD, ALLSTON, MA 02134-3006
(617) 782-6460
Mailing address
14 FORDHAM RD, ALLSTON, MA 02134-3006
(617) 782-6460
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
313994
MA
Other
Enumeration date
06/10/2013
Last updated
06/10/2013
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