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Individual

MRS. DEBRA JOYCE SIROTA

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MSW LICSW

Contact information

Practice address
44 WOOD AVE, STE 2, MANSFIELD, MA 02048-0483
(508) 339-2856
(508) 339-3516
Mailing address
PO BOX 483, 44 WOOD AVE, MANSFIELD, MA 02048-0483
(508) 339-2856
(508) 339-3516

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
105037
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1892151
MA
Enumeration date
12/14/2005
Last updated
07/08/2007
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