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Organization

DANIEL E WEINBAUM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL E WEINBAUM LICSW (THERAPIST)
(917) 604-2193
Entity
Organization

Contact information

Practice address
23 COLLEGE ST STE 5, SOUTH HADLEY, MA 01075-1414
(917) 604-2193
Mailing address
14 BLUEBERRY BND, SOUTH HADLEY, MA 01075-2178
(917) 604-2193

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
02/23/2018
Last updated
02/23/2018
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