Individual
MR. ROBERT R CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
36 WALNUT ST, MAYNARD, MA 01754-1759
(978) 287-3524
(978) 287-3539
Mailing address
36 WALNUT ST., MAYNARD, MA 01754-1759
(978) 287-3524
(978) 287-3539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1032541
MA
101YM0800X
Mental Health Counselor
1032541
MA
101YP2500X
Professional Counselor
1032541
MA
Other
Enumeration date
01/13/2009
Last updated
01/13/2009
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