Individual
PREMELA G. DECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
789 WASHINGTON ST, CANTON, MA 02021-3021
(781) 828-7660
(781) 712-1234
Mailing address
789 WASHINGTON ST, CANTON, MA 02021-3021
(781) 828-7660
(781) 712-1234
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
224625
MA
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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