Individual
CHANDA SPRAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOCIAL WORK INTERN
Contact information
Practice address
113 WAREHAM LAKE SHORE DR, EAST WAREHAM, MA 02538-1437
(702) 785-7845
Mailing address
113 WAREHAM LAKE SHORE DR, EAST WAREHAM, MA 02538-1437
(702) 785-7845
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
164W00000X
Licensed Practical Nurse
LPN15350
NV
376K00000X
Nurse's Aide
CNA015971
NV
Other
Enumeration date
04/21/2013
Last updated
07/12/2023
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