Individual
JESSICA DIGIOVANNI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
431 RIVER ST, WALTHAM, MA 02453-5476
(781) 966-5677
Mailing address
431 RIVER ST, WALTHAM, MA 02453-5476
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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