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Individual

AMY S KAVADLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1093 N MAIN ST, RANDOLPH, MA 02368-2100
(781) 963-7775
(781) 963-7776
Mailing address
1093 N MAIN ST, RANDOLPH, MA 02368-2100
(781) 963-7775
(781) 963-7776

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104863
MA

Other

Enumeration date
12/19/2005
Last updated
02/01/2012
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