MYA FONAROV

BROOKLINE, MA
NPI1619101318
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  115848)
Enumeration Date2009-05-08
Last Update Date2010-09-20
Business Address
-- MYA FONAROV LICSW
7 KENT STREET
BROOKLINE, MA 02445
Phone number: 617-738-1480
Mailing Address
-- MYA FONAROV LICSW
7 KENT ST
BROOKLINE, MA 02445-7959
Phone number:
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