| NPI | 1780830448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLOU SHEARING Sole Member 508-954-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 105297) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2008-08-13 |