Individual
MS. DEBORAH JAI LEVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
664 A MAIN ST., AMHERST, MA 01002
(413) 256-6261
Mailing address
88 PINE GRV, AMHERST, MA 01002-2717
(413) 256-6261
(413) 967-9807
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1018341
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P06331
BCBS PROVIDER NUMBER
MA
Enumeration date
08/29/2006
Last updated
07/08/2007
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