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Organization

CENTER FOR HUMAN DEVELOPEMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. NINA SLOVIK LICSW (CLINIC DIRECTOR)
(413) 439-1260
Entity
Organization

Contact information

Practice address
622 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 654-1600
(413) 654-1606
Mailing address
622 STATE ST, SPRINGFIELD, MA 01109-4104
(413) 654-1600
(413) 654-1606

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
261QM0801X
MA

Other

Enumeration date
11/03/2012
Last updated
11/03/2012
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