| Shelah Corey, Licsw, Llc | |
|
33 Marengo Park Springfield MA 01108-1733 | |
| (413) 237-6862 | |
| (413) 294-2679 |
| Full Name | Shelah Corey, Licsw, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 33 Marengo Park, Springfield, Massachusetts |
| Authorized Official Name and Position | Shelah Corey (OWNER) |
| Authorized Official Contact | 4132376862 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelah Corey, Licsw, Llc 33 Marengo Park Springfield MA 01108-1733 Ph: (413) 237-6862 | Shelah Corey, Licsw, Llc 33 Marengo Park Springfield MA 01108-1733 Ph: (413) 237-6862 |
| NPI Number | 1760921977 |
|---|---|
| Provider Enumeration Date | 02/21/2017 |
| Last Update Date | 02/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760921977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 115347 (Massachusetts) | Primary |
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