Simone Jeanne Tetrault L.I.C.S.W.

NPI 1790839207 - Social Worker - 1041C0700X

NPI Details
NPI 1790839207
Gender Female
Enumeration Date 01/22/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
75 NONOTUCK ST # 1
FLORENCE MA, 01062-1905, US
Phone (413) 341-3323
Fax
Business Location
75 NONOTUCK ST # 1
FLORENCE MA, 01062-1905, US
Phone (413) 341-3323
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 111545
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According to our database, Simone Jeanne Tetrault L.I.C.S.W. NPI is 1790839207, taxonomy code is 1041C0700X and license number is 111545, license state is located at Massachusetts. Simone Jeanne Tetrault L.I.C.S.W. physically located at 75 Nonotuck St # 1, Florence MA, 01062-1905. NPI Number Simone Jeanne Tetrault L.I.C.S.W. has the Individual type.

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1790839207 NPI number is provided on an as is basis without warranty of any kind. 1790839207 is maintained by the National Plan & Provider Enumeration System. The contents of Simone Jeanne Tetrault L.I.C.S.W. are for informational purposes only.