Individual
MS. MARTHA PEARL DEERING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADC-I
Contact information
Practice address
95 LINCOLN ST, WORCESTER, MA 01605-2431
(508) 453-3053
Mailing address
623 GRAFTON ST, SHREWSBURY, MA 01545-4017
(774) 239-8092
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
518
MA
Other
Enumeration date
02/05/2015
Last updated
02/05/2015
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