Susannah Blass Dipasquale, LICSW Valid NPI
Individual provider · Clinical Social Worker · Manchester, MA
- NPI
- 1386127009
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 110343 (MA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2018-09-09
- Last updated
- 2018-09-09
Practice location
2 Pinewood Rd
Manchester, MA 01944-1036
(617) 733-0530