MARYELLEN FAIRCHILD COLLAMORE

SOUTH HAMILTON, MA
NPI1124336920
Former NameMARYELLEN FAIRCHILD
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  121357)
Additional Taxonomies1041C0700X Social Worker, Clinical
(Licence: CA  81865)
225A00000X Music Therapist
(Licence: PA  09139)
Enumeration Date2010-09-15
Last Update Date2021-05-28
Business Address
Ms. MARYELLEN FAIRCHILD COLLAMORE LICSW, LCSW, MT-BC
380 HIGHLAND ST
SOUTH HAMILTON, MA 01982-1310
Phone number: 978-233-1226
Mailing Address
Ms. MARYELLEN FAIRCHILD COLLAMORE LICSW, LCSW, MT-BC
380 HIGHLAND ST
SOUTH HAMILTON, MA 01982-1310
Phone number: 978-233-1226
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