Individual
MS. DEANNA PEDRO PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LAKE AVE N, UMMMC, DEPARTMENT OF PSYCHIATRY, WORCESTER, MA 01655-0002
(508) 334-3240
(508) 421-1000
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1021584
MA
Other
Enumeration date
09/26/2006
Last updated
12/03/2020
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