Lydia Rackenberg, LICSW

NPI #1205914553 in Amherst, Massachusetts

Provider Information

NPI Number: 1205914553
Entity Type: Individual
Name: Lydia Rackenberg, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Credential: LICSW
Enumeration Date: Nov 2, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 111 INFIRMARY WAY
Address 2: 127 HILLS NORTH
City: Amherst
State: Massachusetts
ZIP Code: 01003-9287
Phone: (413) 545-2337

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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