Individual
MS. EMILY ALICE MCDONOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
31 SAINT JAMES AVE, BOSTON, MA 02116-4101
(617) 812-0019
Mailing address
31 SAINT JAMES AVE, BOSTON, MA 02116-4101
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
228621
MA
Other
Enumeration date
12/28/2022
Last updated
03/01/2023
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