Individual
DEBRA J LAQUIDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
4 ALDERBROOK RD, ANDOVER, MA 01810-6102
(978) 702-4552
Mailing address
4 ALDERBROOK RD, ANDOVER, MA 01810-6102
(978) 702-4552
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1027110
MA
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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