Individual
EUNICE B KING WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
227 MILL ST, PROVIDENCE BEHAVIORAL HEALTH HOSPITAL, SPRINGFIELD, MA 01108
(413) 747-9070
Mailing address
27 ALICE ST, SPRINGFIELD, MA 01109
(413) 297-3930
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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