NPI | 1073738670 |
---|---|
Former Name | WENDY A LESCARBEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 1031460) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005317) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2008-02-05 |