Individual
BARRY SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
1 WASHINGTON ST, DCF, TAUNTON, MA 02780-3960
(508) 821-7022
Mailing address
165 QUINCY ST, BROCKTON, MA 02302-2988
(508) 897-2025
(508) 897-2075
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
217226
MA
1041C0700X
Clinical Social Worker
Primary
117993
MA
Other
Enumeration date
10/15/2011
Last updated
12/14/2020
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