Individual
MR. DAVID JOHN DESJARDINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
90 MADISON ST, UNIT 200, WORCESTER, MA 01608-2058
(508) 753-1260
(508) 831-9624
Mailing address
7 RICE CORNER CROSS RD, BROOKFIELD, MA 01506-1810
(508) 867-8471
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
112070
MA
Other
Enumeration date
09/27/2006
Last updated
07/08/2007
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