Individual
MS. EMILY DAVERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 COMMERICAL ST, MASHPEE, MA 02649
(508) 477-7090
(508) 477-7028
Mailing address
107 COMMERICAL ST, MASHPEE, MA 02649
(508) 477-7090
(508) 477-7028
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1020609
MA
Other
Enumeration date
11/09/2007
Last updated
10/16/2008
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