Individual
DEBORAH JEAN CHICKERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
318 TEMPLETON RD, ATHOL, MA 01331-9554
(197) 860-2695
Mailing address
PO BOX 121, ATHOL, MA 01331-0121
(978) 602-6457
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1022915
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000000
NONE
—
01
—
NA
NONE- RETIRED
—
Enumeration date
07/26/2018
Last updated
07/26/2018
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