Individual
RONNA DALLAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
226 FIELD STREET, NEW BEDFORD, MA 02740
(508) 979-5557
Mailing address
22 CHESTNUT PL APT 405, BROOKLINE, MA 02445-7534
(617) 734-7889
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104651
MA
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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