GWEN FADEN

BRIGHTON, MA
NPI1568771301
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  115197)
Enumeration Date2010-09-28
Last Update Date2010-09-28
Business Address
-- GWEN FADEN
77B WARREN ST
BRIGHTON, MA 02135-3601
Phone number: 617-787-1901
Mailing Address
-- GWEN FADEN
77B WARREN ST
BRIGHTON, MA 02135-3601
Phone number:
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