Individual
MS. SANDRA ANN CASTELLUCCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
21 ROYAL ST, RANDOLPH, MA 02368
(617) 347-7579
Mailing address
21 ROYAL ST, RANDOLPH, MA 02368
(617) 347-7579
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
310288
MA
Other
Enumeration date
09/30/2014
Last updated
09/30/2014
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