Individual
MR. DONALD LEIGH WITHERELL JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
(508) 580-4691
Mailing address
1115 W CHESTNUT ST, BROCKTON, MA 02301-7501
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
208416
MA
Other
Enumeration date
09/24/2013
Last updated
09/24/2013
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