Individual
JAN PERLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 499-6636
Mailing address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 499-6636
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104076
MA
Other
Enumeration date
05/22/2007
Last updated
05/01/2008
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