Mary Fallavollita

NPI #1932456613 in Danvers, Massachusetts

Provider Information

NPI Number: 1932456613
Entity Type: Individual
Name: Mary Fallavollita
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Aug 13, 2012
Last Updated: Aug 13, 2012

Practice Location

Address: 152 SYLVAN ST
City: Danvers
State: Massachusetts
ZIP Code: 01923-3558
Phone: (978) 774-6820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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