Individual
NICOLE SANDONATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
CODMAN SQUARE HEALTH CENTER, 637 WASHINGTON STREET, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Mailing address
637 WASHINGTON ST, DORCHESTER, MA 02124-3510
(617) 825-9660
(617) 288-7898
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
223854
MA
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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