Individual
ABASI-ODU ETIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 897-2100
Mailing address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 897-2100
(508) 897-2135
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
000223042
MA
Other
Enumeration date
09/14/2017
Last updated
09/13/2018
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