Individual
ANN E.WADE PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
ADCARE HOSPITAL OF WORCESTER,INC, 117 PARK AVE,SUITE 2, WEST SPRINGFIELD, MA 01089
(413) 209-3124
(413) 209-3127
Mailing address
147 NORTHWEST RD, WESTHAMPTON, MA 01027-9541
(413) 527-6398
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
110055
MA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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