| NPI | 1134778541 |
|---|---|
| Former Name | AUSTIN ALBERT DODD |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MA 226931) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2021-07-12 |