Individual
SANDRA L WOLOSENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W
Contact information
Practice address
151 MYSTIC AVE, MEDFORD, MA 02155-4632
(781) 396-1199
(781) 396-1439
Mailing address
156 OAK ST, FLORENCE, MA 01062-1329
(413) 586-9461
(413) 584-8671
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
101971
MA
Other
Enumeration date
08/21/2006
Last updated
01/04/2012
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