Individual
MOLLY VIRGINIA LONGWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
529 MAIN ST, SUITE #100, CHARLESTOWN, MA 02129-1125
(617) 864-8140
(617) 864-2541
Mailing address
529 MAIN ST, SUITE #100, CHARLESTOWN, MA 02129-1125
(617) 864-8140
(617) 864-2541
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
08/05/2016
Last updated
08/05/2016
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