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Individual

MS. JEAN MARIE DESCHENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
10 GREENWAY ROAD, SALEM, MA 01970-2868
(978) 744-3420
(978) 744-3420
Mailing address
10 GREENWAY ROAD, SALEM, MA 01970-2868
(978) 744-3420
(978) 744-3420

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
206391
MA
174400000X
Specialist
206391
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LICENSE # 206391
COMM. OF MA DIVISON OF PROFESSIONAL LICENSURE
MA
Enumeration date
08/31/2009
Last updated
08/31/2009
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