Organization
FAMILY & CHILDRENS SERVICE OF GR LYNN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAROLI LICARDIE M.ED (EXECUTIVE DIRECTOR)
(781) 598-5517
Entity
Organization
Contact information
Practice address
111 N COMMON ST, LYNN, MA 01902-4223
(781) 598-5517
(781) 581-6614
Mailing address
111 NORTH COMMON STREET, LYNN, MA 01902
(781) 598-5517
(781) 581-6614
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116228000
MAGELLAN BELL HEALTH
—
01
—
66081
CIGNA INSURANCE
—
Enumeration date
10/24/2006
Last updated
06/16/2008
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