Individual
MS. DALE KAREN DEFORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN CS
Contact information
Practice address
30 FEDERAL ST, STE B, SALEM, MA 01970
(978) 740-9590
(978) 744-5486
Mailing address
30 FEDERAL ST, STE B, SALEM, MA 01970
(978) 740-9590
(978) 744-5486
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
110410
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1898493
—
MA
Enumeration date
12/05/2005
Last updated
07/08/2007
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