Individual
CHANN DAMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
421 N MAIN ST, LEEDS, MA 01053-9764
(413) 584-4040
Mailing address
14 BAYBERRY DR, EASTHAMPTON, MA 01027-2751
(413) 527-0902
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1031019
MA
Other
Enumeration date
01/10/2012
Last updated
07/06/2012
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