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Mya Fonarov, LICSW

NPI 1619101318 · on the registry since 2009 · sole proprietor

Practice

Address: 7 Kent Street
Brookline, MA 02445
Phone: (617) 738-1480
Organisation at this address: Katie Mukai Therapy Llc
Boston Evening Therapy Associates, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: Clinical Social Worker
1041C0700X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2010-09-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts