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Individual

LISA MARIE CONNOLLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
69 ALLEGHANY ST, ROXBURY CROSSING, MA 02120-3336
(617) 524-4620
(617) 983-1658
Mailing address
69 ALLEGHANY ST, ROXBURY CROSSING, MA 02120-3336
(617) 524-4620
(617) 983-1658

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
213222
MA

Other

Enumeration date
03/09/2007
Last updated
03/23/2011
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