Individual
SAMUEL P CHIANCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
260 MAIN ST, MILFORD, MA 01757
(508) 473-4674
(508) 865-6059
Mailing address
20 OLD MILL RD, SUTTON, MA 01590
(508) 865-6059
(508) 865-6059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01355
MA
Other
Enumeration date
03/16/2007
Last updated
10/11/2012
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