Individual
MICHAEL ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
10 MAGNOLIA ST APT 3, ARLINGTON, MA 02474-8720
(857) 373-9050
Mailing address
10 MAGNOLIA ST APT 3, ARLINGTON, MA 02474-8720
(857) 373-9050
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
123955
MA
1041C0700X
Clinical Social Worker
123955
MA
Other
Enumeration date
12/02/2020
Last updated
11/11/2024
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