Individual
DESIREE ANN BLAINE-SKIPTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
246 PARK ST, WEST SPRINGFIELD, MA 01089-3314
(413) 737-4718
(413) 827-7817
Mailing address
246 PARK ST, WEST SPRINGFIELD, MA 01089-3314
(413) 737-4718
(413) 827-7817
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
217029
MA
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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