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Individual

MS. BARBARA K SHICKMANTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15 LENOX ST, JEWISH FAMILY SERVICE OF W MASS, SPRINGFIELD, MA 01108
(413) 737-2601
(413) 737-0323
Mailing address
50 DUNMARE CT, LENOX, MA 01240-2613
(413) 637-2577

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105916
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PO3784
BLUE CROSS BLUE SHIELD MA
Enumeration date
07/12/2006
Last updated
07/08/2007
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