Individual
SUSAN PS CREDITOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
11 FISHER RD, SHARON, MA 02067-1129
(781) 784-6688
Mailing address
11 FISHER RD, SHARON, MA 02067-1129
(781) 784-6688
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
102016
MA
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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