Most Relevant Information
Provider Data
| NPI Number: | 1003037342 |
| Provider Name: | WENDY FAY GILLENSON LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 105032 |
Most Important Dates
| Enumeration Date: | 05/02/2007 |
| Last Updated: | 04/15/2015 |
Provider Practice Location
95 PLEASANT ST
LYNN
MA
019011524
Practice Location Phone/Fax
| Phone: | 7815814400 |
| Fax: |
Provider Mailing Location
67 FARQUHAR ST
#1
ROSLINDALE
MA
021311404
Provider Mailing Phone/Fax
| Phone: | 6173278527 |
| Fax: |