Individual
MRS. MARY ANN BETTENCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8 BUTLER STREET, BLACKSTONE, MA 01504
(508) 883-5810
(508) 883-5819
Mailing address
8 BUTLER STREET, BLACKSTONE, MA 01504
(508) 883-5818
(508) 883-5819
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
218886
MA
104100000X
Social Worker
CSW01438
RI
Other
Enumeration date
08/18/2011
Last updated
03/17/2018
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