Individual
JOHN CHARLES CIVELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 912-7914
Mailing address
301 BROADWAY, CHELSEA, MA 02150-2807
(617) 912-7914
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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