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Organization
INSTITUTE FOR EMERGING ADULTHOOD INC
Active
Organization
INSTITUTE FOR EMERGING ADULTHOOD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYCELLE MONSANTO BASFORD-PEQUET LICSW (EXECUTIVE DIRECTOR)
(510) 830-6705
Entity
Organization
Contact information
Practice address
25 MAIN ST STE 219, NORTHAMPTON, MA 01060-3172
(510) 830-6705
(413) 341-3284
Mailing address
25 MAIN ST STE 219, NORTHAMPTON, MA 01060-3172
(510) 830-6705
(413) 341-3284
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
119026
MA
Other
Enumeration date
08/01/2017
Last updated
07/21/2022
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