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Individual

SHARON E WHITWORTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LICSW

Contact information

Practice address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271
Mailing address
77 WARREN ST, BRIGHTON, MA 02135-3601
(617) 254-1271

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1030738
MA

Other

Enumeration date
07/14/2010
Last updated
07/14/2010
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