JAN EMILY WILEY-EGDALL

DORCHESTER, MA
NPI1811198112
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  LICSW103621)
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
Mrs. JAN EMILY WILEY-EGDALL MSW ,LICSW
1140 DORCHESTER AVE
DORCHESTER, MA 02125-3305
Phone number: 617-288-0907
Mailing Address
Mrs. JAN EMILY WILEY-EGDALL MSW ,LICSW
8 BROOKVALE ST APARTMENT 2
DORCHESTER CENTER, MA 02124-4810
Phone number: 617-296-1238