Most Relevant Information
Provider Data
| NPI Number: | 1003305848 |
| Provider Name: | MAUREEN LAVELLE LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 114605 |
Most Important Dates
| Enumeration Date: | 05/08/2018 |
| Last Updated: | 05/08/2018 |
Provider Practice Location
2014 WASHINGTON ST
NEWTON
MA
024621699
Practice Location Phone/Fax
| Phone: | 6172436664 |
| Fax: | 6172436992 |
Provider Mailing Location
2014 WASHINGTON ST
NEWTON
MA
024621699
Provider Mailing Phone/Fax
| Phone: | 6172436664 |
| Fax: | 6172436992 |