Individual
CHERYL LEE FAVALORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
111 DODGE ST, BEVERLY, MA 01915-1827
(978) 921-1182
(978) 921-2982
Mailing address
111 DODGE ST, BEVERLY, MA 01915-1827
(978) 921-1182
(978) 921-2982
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017366
MA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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