Individual
MRS. BARBARA MAE NORDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
21 ANGELL BROOK DR, WEST BOYLSTON, MA 01583-2117
(774) 261-8473
Mailing address
21 ANGELL BROOK DR, WEST BOYLSTON, MA 01583-2117
(774) 261-8473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
1025456
MA
1041C0700X
Clinical Social Worker
Primary
1025456LICSW
MA
Other
Enumeration date
11/30/2006
Last updated
09/19/2018
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