Provider Information for 1962601427
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Mr. ANDREW J WURTH LICSW, LMHC
Sex: Male
NPI: 1962601427
Last Updated: 2007-07-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1962601427 | ||||||||
| Enumeration Date | 2007-07-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | 880 S RIVER ST MARSHFIELD, MA 02050-2550 United States Phone: 781-834-4223 | Fax: | ||||||||
| Primary Practice Address | 60 HODGES AVE TAUNTON, MA 02780-3034 United States Phone: 508-828-3200 | Fax: | ||||||||
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