COURTNEY ANN FORMICOLA

QUINCY, MA
NPI1417448481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-05-24
Last Update Date2018-05-24
Business Address
COURTNEY ANN FORMICOLA M.A., M.Psy
859 WILLARD ST
QUINCY, MA 02169-7482
Phone number: 914-384-0915
Mailing Address
COURTNEY ANN FORMICOLA M.A., M.Psy
1701 16TH ST NW APT 640
WASHINGTON, DC 20009-3155
Phone number: