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Individual

JOHN RICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
564 DUTTON ST FL 2, LOWELL, MA 01854-4306
(978) 459-7672
(978) 459-0029
Mailing address
564 DUTTON ST FL 2, LOWELL, MA 01854-4306
(978) 459-7672
(978) 459-0029

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1020603
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1097799
CIGNA BEHAVIORAL
MA
01
337920
TUFTS HP
MA
01
P06222
BCBS MA
MA
Enumeration date
11/08/2006
Last updated
07/08/2007
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