Individual
MRS. DENISE S BACKUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LICSW
Contact information
Practice address
2A OAK ST, STE 201, MASHPEE, MA 02649
(508) 539-0221
Mailing address
PO BOX 1114, LAKEVILLE, MA 02347
(508) 763-9299
(508) 763-9517
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1021504
MA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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