Individual
ANN TYSON AUGUSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
50 PLEASANT ST, NORTHAMPTON, MA 01060-3909
(413) 584-6855
Mailing address
143 HIGH ST, AMHERST, MA 01002-1853
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111915
MA
Other
Enumeration date
01/03/2007
Last updated
04/27/2020
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