Individual
DAVID JAFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 BROAD ST, WESTFIELD, MA 01085-2902
(413) 572-4101
Mailing address
20 BROAD ST, WESTFIELD, MA 01085-2902
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
11/28/2012
Last updated
11/28/2012
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