Individual
DANIELLE LEAH ISETTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.S.W.
Contact information
Practice address
10 CABOT RD, SUITE 101, MEDFORD, MA 02155-5177
(781) 393-5153
Mailing address
3 THOMAS ST, NASHUA, NH 03060-4013
(973) 768-8653
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
44SL05785800
NJ
Other
Enumeration date
12/20/2012
Last updated
08/05/2020
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