Most Relevant Information
Provider Data
| NPI Number: | 1003640418 |
| Provider Name: | KAYLA DEFEO |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/28/2024 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
35 CONGRESS ST
SALEM
MA
019705529
Practice Location Phone/Fax
| Phone: | 9787452440 |
| Fax: |
Provider Mailing Location
12 SENECA DR
DANVERS
MA
019231641
Provider Mailing Phone/Fax
| Phone: | 8572611505 |
| Fax: |