Individual
DORANNE WHITTREDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
100 HIGHLAND AVE STE 204, SALEM, MA 01970-2702
(978) 744-8686
Mailing address
23 BROADWAY CIR, LYNN, MA 01904-2049
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
106508
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500136
TUFTS
MA
01
—
P04368
BLUECROSS
MA
Enumeration date
08/30/2006
Last updated
07/08/2007
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