Holly Bastarache, LICSW Valid NPI
Individual provider · Clinical Social Worker · Norton, MA
- NPI
- 1750418513
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 114628 (MA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-02-28
- Last updated
- 2009-07-27
Practice location
108 W Main St
Norton, MA 02766-1248
(508) 285-9400