Individual
FAYTHE SEYMOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
995 WORTHINGTON ST, SPRINGFIELD, MA 01109-4027
(413) 734-5376
Mailing address
84 GRESHAM ST, SPRINGFIELD, MA 01119-1421
(860) 849-5255
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
417A76202
UNI-CARE
MA
Enumeration date
06/09/2022
Last updated
06/09/2022
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