Sandra G Bothwick, LICSW
NPI #1225089212 in Agawam, Massachusetts
Provider Information
- NPI Number
- 1225089212
- Entity Type
- Individual
- Name
- Sandra G Bothwick, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- May 14, 2006
- Last Updated
- Sep 8, 2008
Practice Location
- Address
- 540 MEADOW STREET EXT
- Address 2
- SUITE 101
- City
- Agawam
- State
- Massachusetts
- ZIP Code
- 01001-2035
- Phone
- (413) 789-7455
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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