Berkshire County Kids' Place And Violence Preve | |
63 Wendell Avenue Pittsfield MA 01201 | |
(413) 499-2800 | |
(413) 496-9327 |
Full Name | Berkshire County Kids' Place And Violence Preve |
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Speciality | Social Worker - Clinical |
Location | 63 Wendell Avenue, Pittsfield, Massachusetts |
Authorized Official Name and Position | Joann Oliver Lynch (CLINICAL COORDINATOR) |
Authorized Official Contact | 4134992800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Berkshire County Kids' Place And Violence Preve 63 Wendell Avenue Pittsfield MA 01201 Ph: (413) 499-2800 | Berkshire County Kids' Place And Violence Preve 63 Wendell Avenue Pittsfield MA 01201 Ph: (413) 499-2800 |
NPI Number | 1336493410 |
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Provider Enumeration Date | 10/29/2012 |
Last Update Date | 10/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1336493410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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