Individual
MRS. EDYTHANN VENTURA KNIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
94 RESERVOIR STREET, SHREWSBURY, MA 01545-1603
(508) 685-6713
Mailing address
94 RESERVOIR STREET, SHREWSBURY, MA 01545-1603
(508) 685-6713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1024577
MA
Other
Enumeration date
08/23/2008
Last updated
04/12/2013
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