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Individual

MR. PHILLIP BYRON PRATHER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
40 BOBALA ROAD, HOLYOKE, MA 01040
(413) 536-5473
(413) 536-2760
Mailing address
40 BOBALA ROAD, HOLYOKE, MA 01040
(413) 536-5473
(413) 536-2760

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1029510
MA
104100000X
Social Worker
Primary
1029510
MA

Other

Enumeration date
10/20/2006
Last updated
03/19/2010
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