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Provider Information for 1932486115


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Ms. ERIN MELISSA DUNHAM LCSW


Sex: Female

NPI: 1932486115
Last Updated: 2011-11-15
Certification Date:

Details

NameValue
NPI1932486115
Enumeration Date2011-11-15
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 200 BOSTON AVE STE 1900
MEDFORD, MA 02155-4250
United States

Phone: 781-306-1180 | Fax:781-306-1190
 
Primary Practice Address 200 BOSTON AVE STE 1900
MEDFORD, MA 02155-4250
United States

Phone: 781-306-1180 | Fax:781-306-1190
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalMA215366