Individual
ANJALI GADDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
47 WASHINGTON ST, MEDFORD, MA 02155-4728
(617) 710-1280
Mailing address
50 LARCH ST # 2, BRIGHTON, MA 02135-3023
(469) 803-6763
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCSW2131087
MA
Other
Enumeration date
03/11/2025
Last updated
03/11/2025
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