Individual
BRENDAN WALSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 MILL ST, WESTFIELD, MA 01085-4598
(413) 572-4101
Mailing address
77 MILL ST, WESTFIELD, MA 01085-4598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1300881
—
MA
Enumeration date
04/27/2012
Last updated
04/27/2012
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