Most Relevant Information
Provider Data
| NPI Number: | 1003219866 |
| Provider Name: | ELLEN MARY SNEAD LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 220165 |
Most Important Dates
| Enumeration Date: | 10/07/2014 |
| Last Updated: | 10/07/2014 |
Provider Practice Location
39 FULLER ST
DEDHAM
MA
020264123
Practice Location Phone/Fax
| Phone: | 7812238982 |
| Fax: |
Provider Mailing Location
39 FULLER ST
DEDHAM
MA
020264123
Provider Mailing Phone/Fax
| Phone: | 7812238982 |
| Fax: |