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Contact Information

JESSICA AVILA
24 LEDGE HILL ST
RANDOLPH, MA02368-3514
 Phone: 781-527-1664
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for JESSICA AVILA · (Female)

NPI Number 1285906685
Status Active
Credentials
Entity Individual
Enumeration date 01/31/2012
Last updated 01/05/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 121013
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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