Doctor Name: | CLARA MARGARET WEEKS-BOUTILIER |
NPI Number: | 1699735340 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LICSW |
License Number: | 102173 |
Business Practice Address: | 35 Hawes St N Dartmouth, MA - 027471929 |
Business Phone Number: | 5089931651 |
Business Fax Number: | 5089969671 |
Mailing Address: | 35 Hawes St, N DARTMOUTH |
State: | MA |
Postal Code: | 027471929 |
Phone Number: | 5089931651 |
Fax Number: | 5089969671 |
NPI Enumeration Date: | 03/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 102173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |