Doctor Name: | MR. WILLIAM CLARK DAWBER |
NPI Number: | 1447298153 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | LICSW 100181 |
Business Practice Address: | 15 Cedar Crest Ln Scituate, MA - 020664501 |
Business Phone Number: | 7815455264 |
Business Fax Number: | 7208340617 |
Mailing Address: | 15 Cedar Crest Ln, SCITUATE |
State: | MA |
Postal Code: | 020664501 |
Phone Number: | 7815455264 |
Fax Number: | 7208340617 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 11/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LICSW 100181 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |