Individual
MILES MORRISSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
9 COLLEGE ST, SUITE 6, SOUTH HADLEY, MA 01075-1421
(413) 534-7400
(413) 534-7483
Mailing address
9 COLLEGE ST, SUITE 6, SOUTH HADLEY, MA 01075-1421
(413) 534-7400
(413) 534-7483
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1025773
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PO7760
BLUE SHIELD
MA
Enumeration date
07/27/2006
Last updated
07/08/2007
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