| Doctor Name: | MRS. BRENDA LOUISE DALEY |
| NPI Number: | 1164552485 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW |
| License Number: | LICSW 113162 |
| Business Practice Address: | 1125 Tremont St Roxbury Crossing Roxbury Crossing, MA - 021202178 |
| Business Phone Number: | 6174271000 |
| Business Fax Number: | 6179893125 |
| Mailing Address: | 668 North Main Street, RANDOLPH |
| State: | MA |
| Postal Code: | 02368 |
| Phone Number: | 7819866607 |
| Fax Number: | 6174360187 |
| NPI Enumeration Date: | 03/06/2007 |
| NPI Last Update Date: | 11/04/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LICSW 113162 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |