Individual
MIA CIANCIARULO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 IVY ST, BROOKLINE, MA 02446-3907
(617) 732-0233
Mailing address
50 WHITNEY AVE, WESTWOOD, MA 02090-2948
(781) 974-7483
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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