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Individual

DEIRDRE M DANAHAR

Active
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Individual

DEIRDRE M DANAHAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
110607
MA
1041C0700X
Clinical Social Worker
C7111
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110607-SW-LICSW
DIVISION OF PROFESSIONAL LICENSURE, BOARD OF REGISTRATION OF SOCIAL WORKERS
MA
Enumeration date
09/18/2018
Last updated
09/18/2018
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