Individual
DAVID WEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
13 PROSPECT ST, GREENFIELD, MA 01301-3506
(413) 775-9345
Mailing address
470 RICEVILLE RD, ATHOL, MA 01331-9638
(978) 467-6525
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113757
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300010
MBHP
MA
05
—
1300881
—
MA
Enumeration date
03/29/2007
Last updated
01/03/2020
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