Individual
DEBORAH M VAUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
12 STONE HORSE RD, OSTERVILLE, MA 02655-1701
(508) 428-2372
Mailing address
12 STONE HORSE RD, OSTERVILLE, MA 02655-1701
(508) 428-2372
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111267
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451337
TUFTS HEALTHPLAN
MA
01
—
P08462
BCBS PPO
MA
Enumeration date
07/07/2006
Last updated
07/08/2007
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