SUSANNAH COBURN BASTEK

NORTHAMPTON, MA
NPI1841343613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  113728)
Enumeration Date2007-01-18
Last Update Date2007-07-08
Business Address
-- SUSANNAH COBURN BASTEK LICSW
129 KING ST
NORTHAMPTON, MA 01060-3258
Phone number: 413-586-0390
Mailing Address
-- SUSANNAH COBURN BASTEK LICSW
185 N MAPLE ST
FLORENCE, MA 01062-1346
Phone number: 413-303-9819
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