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AVIVA L. LIST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
1032 TURNPIKE ST STE 301, CANTON, MA 02021-2864
(646) 645-4680
Mailing address
9 EMERSON RD, WELLESLEY, MA 02481-3401
(646) 645-4680

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
120351
MA

Other

Enumeration date
09/21/2018
Last updated
09/24/2025
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