Individual
DEIRDRE KENNEDY SAMUELSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
66 CLIFTON AVE, MARBLEHEAD, MA 01945-1737
(781) 631-8273
Mailing address
66 CLIFTON AVE, MARBLEHEAD, MA 01945-1737
(781) 631-8273
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LICSW111460
MA
Other
Enumeration date
05/08/2015
Last updated
06/14/2021
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