Individual
DONALD C SIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
7 GREENLAND CIR, SOUTH DENNIS, MA 02660-2414
(508) 385-5256
Mailing address
7 GREENLAND CIRCLE, SOUTH DENNIS, MA 02660
(508) 385-5256
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105308
MA
Other
Enumeration date
01/05/2016
Last updated
01/05/2016
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