Individual
MRS. SAMANTHA L FAHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W
Contact information
Practice address
16 HARVEST VIEW WAY, CARVER, MA 02330
(508) 287-4004
Mailing address
16 HARVEST VIEW WAY, CARVER, MA 02330-2003
(508) 287-4004
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
114072
MA
Other
Enumeration date
06/07/2007
Last updated
06/05/2018
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