| NPI | 1013649029 |
|---|---|
| Former Legal Business Name | GINA CIPOLLA CONNOR LICSW |
| Entity Type | Organization |
| Authorized Contact | GINA CONNOR Social Worker 781-974-4802 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2022-06-28 |