Individual
MS. BETH WHITLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
111 OLD ROAD TO 9 ACRE COR, CONCORD, MA 01742-4141
(978) 369-1113
(978) 369-0908
Mailing address
83 CONCORD RD, SUDBURY, MA 01776-2379
(978) 443-6945
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107894
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P10320
BCBS
MA
Enumeration date
03/06/2007
Last updated
07/08/2007
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