Individual
AVERY SIMONE DEWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
851 MAIN ST STE 24, WEYMOUTH, MA 02190-1614
(781) 817-5844
Mailing address
613 CHERRY TREE DR, KELLER, TX 76248-8241
(817) 889-4232
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LCSW2140934
MA
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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