Deidra B Horton LICSW

NPI 1659561496 - Social Worker - 104100000X

NPI Details
NPI 1659561496
Gender Female
Enumeration Date 07/27/2007
Last Updated 07/27/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
172 LAFAYETTE ST
SALEM MA, 01970-4815, US
Phone (978) 744-4033
Fax
Business Location
172 LAFAYETTE ST
SALEM MA, 01970-4815, US
Phone (978) 744-4033
Fax
Toxanomy
Taxonomy Code 104100000X
License State Massachusetts
License Number 110986
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According to our database, Deidra B Horton LICSW NPI is 1659561496, taxonomy code is 104100000X and license number is 110986, license state is located at Massachusetts. Deidra B Horton LICSW physically located at 172 Lafayette St, Salem MA, 01970-4815. NPI Number Deidra B Horton LICSW has the Individual type.

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1659561496 NPI number is provided on an as is basis without warranty of any kind. 1659561496 is maintained by the National Plan & Provider Enumeration System. The contents of Deidra B Horton LICSW are for informational purposes only.