Individual
MR. ALLAN SHELBY HAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
286 LINCOLN ST, WORCESTER, MA 01605-2106
(508) 753-2967
Mailing address
161 OLD ASHBY RD, ASHBURNHAM, MA 01430-1133
(508) 753-2967
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW214038
MA
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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