Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 104100000X | Social Worker | 115696 | MA |
NPI | 1003396565 |
---|---|
Provider Name | Sherri Geraldine Bisci |
First Address | West Newbury, MA 01985-2233 |
Second Address | West Newbury, MA 01985-2233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2018 |
Last Update Date | 15/08/2018 |