Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 116982 | MA |
NPI | 1003035056 |
---|---|
Provider Name | Jennifer Noyes Troilo |
First Address | Taunton, MA 02780-3301 |
Second Address | Taunton, MA 02780-3301 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/04/2007 |
Last Update Date | 28/05/2014 |