Individual
ANNA ELIZABETH MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
367 PINE ST, SPRINGFIELD, MA 01105-1930
(413) 316-0536
Mailing address
367 PINE ST, SPRINGFIELD, MA 01105-1930
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
228196
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110027977
—
MA
Enumeration date
08/29/2022
Last updated
08/29/2022
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