BRONSON DESTADLER

NEWBURYPORT, MA
NPI1073514196
Entity TypeIndividual
GenderN/A
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  106400)
Enumeration Date2005-08-10
Last Update Date2007-07-08
Business Address
-- BRONSON DESTADLER LICSW
143 STATE ST
NEWBURYPORT, MA 01950-6621
Phone number: 978-462-2890
Mailing Address
-- BRONSON DESTADLER LICSW
143 STATE ST
NEWBURYPORT, MA 01950-6621
Phone number: 978-462-2890
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