ELLEN M SANDOVAL

BOSTON, MA
NPI1083106801
Former NameELLEN M MAYNARD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: MA  117846)
Enumeration Date2018-06-06
Last Update Date2018-06-06
Business Address
MS. ELLEN M SANDOVAL LICSW, EDM
53 PARKER HILL AVE
BOSTON, MA 02120-3225
Phone number: 617-278-4251
Mailing Address
MS. ELLEN M SANDOVAL LICSW, EDM
182 KITTREDGE ST APT A
BOSTON, MA 02131-4114
Phone number: