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Individual

MS. AUTUMN DAMARA PRIOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
106 SPRING ST, SUITE #210, NEW BEDFORD, MA 02740-5951
(508) 837-9587
(508) 300-8808
Mailing address
5500 N MAIN ST, BLDG 15 APT 109, FALL RIVER, MA 02720-2061
(401) 862-2717

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
114310
MA
1041C0700X
Clinical Social Worker
214413
MA

Other

Enumeration date
01/17/2007
Last updated
11/03/2016
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