Individual
KIERA NELLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
20 SCHOOL ST, LYNN, MA 01902-2952
(718) 715-2411
(781) 268-5070
Mailing address
182 HARVARD ST, MEDFORD, MA 02155-6237
(617) 922-4296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
222479
MA
Other
Enumeration date
02/14/2019
Last updated
02/14/2019
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