Sirota, Debra Joyce

Sirota, Debra Joyce is an individual health care provider with primary practice located at 44 Wood Ave Ste 2, Mansfield MA 02048-0483. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Sirota, Debra Joyce can be contacted via phone (508) 339-2856.

Contact Information

Primary practice address
44 Wood Ave Ste 2 Mansfield MA 02048-0483
Phone: (508) 339-2856
Fax: (508) 339-3516
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 105037 Massachusetts

Profile Details

NPI number 1851376792
LBN Legal business name Sirota, Debra Joyce
Credentials MSW LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851376792 NPPES
Massachusetts MEDICAID 1892151

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