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1083106801
ELLEN M SANDOVAL
BOSTON, MA
NPI
1083106801
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Former Name
ELLEN M MAYNARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: MA 117846)
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
Ms. ELLEN M SANDOVAL LICSW, EdM
53 PARKER HILL AVE
BOSTON, MA 02120-3225
Phone number: 617-278-4251
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Mailing Address
Ms. ELLEN M SANDOVAL LICSW, EdM
182 KITTREDGE ST APT A
BOSTON, MA 02131-4114
Phone number:
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