Individual
MS. ANDREA REGINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW, M. ED.
Contact information
Practice address
108 QUINCY RD, TEWKSBURY, MA 01876-1422
(978) 618-7103
Mailing address
668 MAIN ST # 194, WILMINGTON, MA 01887-3395
(978) 435-3727
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125904
MA
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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