Provider Demographics
NPI:1356477905
Name:GUIRY, JENNIFER M (MSW LICSW)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:M
Last Name:GUIRY
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 SEAGRAVE RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-1640
Mailing Address - Country:US
Mailing Address - Phone:978-790-6241
Mailing Address - Fax:617-714-4419
Practice Address - Street 1:17 HENSHAW ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-2905
Practice Address - Country:US
Practice Address - Phone:978-790-6241
Practice Address - Fax:617-714-4419
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2011-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1134911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical