Individual
CINDY SPROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
250 MOUNT VERNON ST, DORCHESTER, MA 02125-3120
(617) 288-1140
(617) 288-3910
Mailing address
109 CURTIS AVE, APT #504, QUINCY, MA 02169-7256
(617) 786-3055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111807
MA
Other
Enumeration date
12/29/2005
Last updated
06/13/2008
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