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Individual

ARIEL A BOTTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6710
(617) 730-0319
Mailing address
98 CHARLES ST, BOSTON, MA 02114-4610
(857) 891-5679

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
111066
MA
1041S0200X
School Social Worker
Primary
111066
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1200445
MA
Enumeration date
12/26/2006
Last updated
09/11/2025
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