Lisa Marie Connolly, LICSW

NPI #1619009560 in Roxbury Crossing, Massachusetts

Provider Information

NPI Number: 1619009560
Entity Type: Individual
Name: Lisa Marie Connolly, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Mar 9, 2007
Last Updated: Mar 23, 2011

Practice Location

Address: 69 ALLEGHANY ST
City: Roxbury Crossing
State: Massachusetts
ZIP Code: 02120-3336
Phone: (617) 524-4620

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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