Individual
CYNTHIA DIANNE CROSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D., LICSW
Contact information
Practice address
4 EAST ST, PETERSHAM, MA 01366-9739
(978) 724-3472
Mailing address
PO BOX 781, PETERSHAM, MA 01366-0781
(978) 724-3472
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
103433
MA
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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