Individual
MR. GEORGE THEODORE LABARRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
29 PINE ST, SOUTHBRIDGE, MA 01550
(508) 765-9167
(508) 764-2462
Mailing address
29 PINE ST, SOUTHBRIDGE, MA 01550
(508) 765-9167
(508) 764-2462
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
103513
MA
Other
Enumeration date
12/06/2005
Last updated
05/31/2011
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