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Organization

SOUTH BAY MENTAL HEALTH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. CHARLOTTE N WODI MSW (MASTER'S LEVEL THERAPISTS)
(518) 253-3435
Entity
Organization

Contact information

Practice address
80 OLD STONE WAY APT 309, EAST WEYMOUTH, MA 02189-2539
(518) 253-3435
Mailing address
80 OLD STONE WAY APT 309, EAST WEYMOUTH, MA 02189-2539
(518) 253-3435

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
3
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131823394
NONE
NY
Enumeration date
05/03/2013
Last updated
07/21/2022
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