Individual
MR. KEVIN L LONGVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
24 WILLOW ST., WESTWOOD, MA 02090
(781) 461-1985
Mailing address
24 WILLOW ST., WESTWOOD, MA 02090
(781) 461-1985
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
241378 DESE
MA
103TS0200X
School Psychologist
Primary
241378 DESE
MA
1041S0200X
School Social Worker
241378 DESE
MA
Other
Enumeration date
09/18/2012
Last updated
09/18/2012
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