Individual
EGIDIA SUSAN VERGANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
730 LINDSEY ST, ATTLEBORO, MA 02703-1138
(508) 222-2587
Mailing address
730 LINDSEY ST, ATTLEBORO, MA 02703-1138
(508) 222-2587
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113790
MA
Other
Enumeration date
07/06/2018
Last updated
07/06/2018
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