Individual
ALICE HARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
352 LAFAYETTE ST, SALEM, MA 01970-5348
(978) 219-4722
Mailing address
203 WASHINGTON ST # 163, SALEM, MA 01970-3607
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000122857
MA
Other
Enumeration date
04/11/2017
Last updated
08/06/2020
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