Individual
LOREN F VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
47 GALAHAD WAY, NORTH EASTON, MA 02356-2646
(508) 230-2692
Mailing address
47 GALAHAD WAY, NORTH EASTON, MA 02356-2646
(508) 230-2692
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1031044
MA
Other
Enumeration date
10/16/2018
Last updated
10/16/2018
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