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Individual

BHARAT SHIPPEN-HOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
L.I.C.S.W.

Contact information

Practice address
200 SPRINGS RD, (122), BEDFORD, MA 01730-1114
(781) 879-2175
Mailing address
200 SPRINGS RD, (122), BEDFORD, MA 01730-1114
(781) 879-2175

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118164
MA
1041C0700X
Clinical Social Worker
217318
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
118164
LICENSED INDIVIDUAL CLINICAL SOCIAL WORKER
MA
Enumeration date
10/04/2011
Last updated
07/25/2016
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