Individual
DONNA DESMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 HERRICK ST, BEVERLY, MA 01915-1790
(978) 922-3000
Mailing address
85 HERRICK ST, BEVERLY, MA 01915-1790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
111419
MA BOARD OF SOCIAL WORK
MA
Enumeration date
08/07/2018
Last updated
08/07/2018
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