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Individual

JOANNA VAUGHN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
16 CENTER ST 320, NORTHAMPTON, MA 01060-3031
(413) 203-1168
(855) 854-5417
Mailing address
16 CENTER ST 320, NORTHAMPTON, MA 01060-3031
(413) 268-4003

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0020142
MEDICARE PTAN
MA
Enumeration date
02/13/2007
Last updated
10/03/2023
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