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Individual

DEBORAH ANN DOLAWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
7 S SPOONER ST, ISIS PSYCHOTHERAPY, PLYMOUTH, MA 02360-4446
(508) 830-2414
(508) 830-2399
Mailing address
5 HEATHER HILL RD, SANDWICH, MA 02563-2614
(508) 830-2414
(508) 830-2399

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
107003
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P05914
BLUE CROSS BLUE SHIELD
MA
Enumeration date
12/07/2006
Last updated
07/08/2007
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