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Individual

FABIEN QUEELEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
110 BOSTON ST, SALEM, MA 01970-1402
(781) 820-7668
Mailing address
10 PLEASANT ST APT 106, LYNN, MA 01902-4439
(781) 820-7668

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
104100000X
Social Worker

Other

Enumeration date
10/02/2018
Last updated
10/02/2018
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