Individual
MISS LIA DEGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
415 NEPONEST AVE, 3RD FLOOR, DORCHESTER, MA 02122
(617) 949-6115
Mailing address
21 WALDEN SQUARE RD, APT# 668, CAMBRIDGE, MA 02140-3443
(617) 466-6649
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
MA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
07/29/2015
Last updated
07/29/2015
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