Organization
DOROTHY MACK, LICSW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOROTHY MACK LICSW (CLINICIAN)
(413) 281-0141
Entity
Organization
Contact information
Practice address
10 WENDELL AVENUE EXT STE 209, PITTSFIELD, MA 01201-6283
(413) 281-0141
Mailing address
10 WENDELL AVENUE EXT STE 209, PITTSFIELD, MA 01201-6283
(413) 281-0141
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
07/02/2021
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