Individual
SHAVICA SHORTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
143 WEST ST, NORTHAMPTON, MA 01060-3749
(413) 586-8213
(413) 585-9139
Mailing address
1695 MAIN ST, STE 300, SPRINGFIELD, MA 01103-1348
(413) 739-5572
(413) 739-9972
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/26/2013
Last updated
08/17/2020
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