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Allegra Welly

Social Worker, Clinical in Beverly, MA. Individual provider (NPI-1).

NPI number1083074009
StatusActive
Last updated in NPPESJul 15, 2020

Details

NPI
1083074009
Entity type
Individual (NPI-1)
Name
Allegra Welly
Sex
Female
Sole proprietor
No
Enumeration date
Mar 3, 2016
Certification date
Jul 15, 2020
Last updated
Jul 15, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical121207MAYes

Practice location

100 Cummings Ctr Ste 451c
Beverly, MA 01915-6132

Phone 800-225-0634

Mailing address

575 Beech St
Holyoke, MA 01040-2223

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