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Individual

MS. ANDREA M LAMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
109 ADAMS STREET, SAGAMORE, MA 02561-0109
(508) 888-5005
(508) 888-5005
Mailing address
PO BOX 109, 109 ADAMS STREET, SAGAMORE, MA 02561-0109
(508) 888-5005
(508) 888-5005

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107151
MA
1041C0700X
Clinical Social Worker
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1892169
MA
Enumeration date
06/17/2005
Last updated
02/04/2010
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