Individual
ADELINE DETTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
225 MAIN ST STE 4, WENHAM, MA 01984-1459
(978) 307-2010
Mailing address
225 MAIN ST STE 4, WENHAM, MA 01984-1459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/06/2019
Last updated
06/29/2022
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