Individual
LAURA WHITNEY ORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3190
(508) 460-3279
Mailing address
24 NEWTON ST, SOUTHBOROUGH, MA 01772-1215
(508) 460-3190
(508) 460-3279
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1019600
MA
Other
Enumeration date
07/15/2006
Last updated
07/08/2007
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