is a Clinical in East Bridgewater, Massachusetts. practices all healthcare services and medical treatments related to Clinical. The NPI Number for is 1497965651. The last update date is .
's current location address is 175 N Bedford St, East Bridgewater, Massachusetts. You can contact this provider via phone number 7817675552 and fax number 7819868752. The mailing address for is 175 N Bedford St, East Bridgewater, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 175 N Bedford St, East Bridgewater, Massachusetts |
| Phone Number | 7817675552 |
| Fax Number | 7819868752 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1497965651 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 175 N Bedford St |
|---|---|
| City | East Bridgewater |
| State | Massachusetts (MA) |
| Post Code | 23331168 |
| Phone Number | 7817675552 |
| Fax Number | 7819868752 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 106002 |
|
Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1497965651 | MA | BC/BS |
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