Ann E.wade Park, LICSW

NPI #1982732327 in West Springfield, Massachusetts

Provider Information

NPI Number: 1982732327
Entity Type: Individual
Name: Ann E.wade Park, LICSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LICSW
Enumeration Date: Feb 28, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: ADCARE HOSPITAL OF WORCESTER,INC
Address 2: 117 PARK AVE,SUITE 2
City: West Springfield
State: Massachusetts
ZIP Code: 01089
Phone: (413) 209-3124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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