Individual
ANGELA N GENOVESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
75 SYLVAN ST STE B102, DANVERS, MA 01923-2764
(978) 880-8017
Mailing address
75 SYLVAN ST STE B102, DANVERS, MA 01923-2764
(978) 774-7566
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
116083
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110024356A
—
MA
Enumeration date
08/22/2018
Last updated
08/22/2018
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