MR. Timothy Wayne Stanton, LICSW
NPI #1336275692 in West Springfield, Massachusetts
Provider Information
- NPI Number
- 1336275692
- Entity Type
- Individual
- Name
- MR. Timothy Wayne Stanton, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker - Clinical
- Credential
- LICSW
- Enumeration Date
- Feb 23, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 117 PARK AVE
- Address 2
- SUITE 200
- City
- West Springfield
- State
- Massachusetts
- ZIP Code
- 01089-3327
- Phone
- (413) 209-3124
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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