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Individual

DR. PATRICIA SACCA DAVIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
46 SUFFIELD ST, SUITE 4, AGAWAN, MA 01001-1753
(413) 786-3701
(413) 786-3758
Mailing address
46 SUFFIELD ST, SUITE 4, AGAWAN, MA 01001-1753
(413) 786-3701
(413) 786-3758

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
2246
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
011498
VALUE OPTION/CHAMPUS
05
0511587
MA
Enumeration date
08/02/2006
Last updated
07/08/2007
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