Odonata Psychotherapy & Retreat Center LLC
NPI #1902285414 in Buzzards Bay, Massachusetts
Provider Information
- NPI Number
- 1902285414
- Entity Type
- Organization
- Organization Name
- Odonata Psychotherapy & Retreat Center LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- May 29, 2015
- Last Updated
- Aug 15, 2018
Practice Location
- Address
- 121 MAIN ST
- City
- Buzzards Bay
- State
- Massachusetts
- ZIP Code
- 02532
- Phone
- (774) 247-4939
Authorized Official
- Name
- NANCY C WILEY, LICSW
- Title
- OWNER
- Phone
- (774) 247-4939
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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