Individual
MR. JOHN N SCIRETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
035038
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
403253
TUFTS
MA
01
—
P)4222
BLUE CROSS
MA
Enumeration date
06/18/2007
Last updated
07/08/2007
Update your record
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