| NPI | 1003360603 |
|---|---|
| Doing Business As | MARY C. TARVIN, LICSW |
| Entity Type | Organization |
| Authorized Contact | MARY C. TARVIN President 617-696-4791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 114647) |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-13 |