Individual
GENESIS ILIANA PEGUERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
1 WILDCAT WAY, WEYMOUTH, MA 02190-2664
(781) 337-7500
Mailing address
13 HUNTRESS AVE, BROCKTON, MA 02302-3934
(857) 212-2025
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
127872
MA
Other
Enumeration date
01/07/2025
Last updated
01/07/2025
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