Individual
AMANDA CONNOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
173 CHELSEA ST, EVERETT, MA 02149
(781) 388-6200
Mailing address
125 HARTWELL AVE, LEXINGTON, MA 02421-3100
(817) 861-0899
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121176
—
Other
Enumeration date
09/08/2015
Last updated
05/21/2019
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