Individual
JANA VAUGHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
221 WILLOW ST, YARMOUTH PORT, MA 02675-1770
(508) 771-3156
Mailing address
221 WILLOW ST, YARMOUTH PORT, MA 02675-1770
(508) 771-3156
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
08/20/2021
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