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Individual

MS. ANN P DEXTRAZE

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LICSW DCSW

Contact information

Practice address
14 COVE RD, ORLEANS, MA 02653-2443
(774) 722-5194
Mailing address
97 BAYVIEW DR, BREWSTER, MA 02631-2107
(508) 255-8418

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1023132
MA

Other

Enumeration date
03/18/2006
Last updated
07/08/2007
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