Individual
MS. MARY M LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
14 PORTER ST, EAST BOSTON, MA 02128-2116
(617) 569-3189
(617) 569-7890
Mailing address
1512 FERNCROFT TOWERS, DANVERS, MA 01923-4031
(978) 777-6332
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1027728
MA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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