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Individual

MS. CHRISTINE L BAVARO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED LMHC

Contact information

Practice address
7 KIMBALL LN, LYNNFIELD, MA 01940-2617
(781) 246-2315
Mailing address
55-14 ASH ST, DANVERS, MA 01923
(978) 774-7975
(978) 774-3360

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3855
MA
104100000X
Social Worker
200200
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142082XX
PREFERRED CARE
NY
01
200200
LCSW
01
3855
LMHC
01
ROLM0015
BCBS
MA
Enumeration date
05/04/2006
Last updated
04/10/2017
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