Individual
CHRISTINE DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
300 OCEAN AVE, REVERE, MA 02151-3675
(781) 485-6100
Mailing address
300 OCEAN AVE, REVERE, MA 02151-3675
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114570
MA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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