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SEAN WHIPPLE WITHINGTON L.I.C.S.W.

Addiction Substance Use Disorder

Plymouth, Massachusetts

Provider NPI: 1134118201

Provider Information:
 SEAN WHIPPLE WITHINGTON L.I.C.S.W.
Gender: M


Practice Location:
340 COURT ST  PLYMOUTH, MA 02360 US
Tel: 508-667-6704  Fax: 508-747-7470

Business Mailing Address:
1 MASSASOIT ST  PLYMOUTH, MA 02360 US
Tel: 508-667-6704  Fax: 508-747-7470

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
MA1763
X1041C0700XBehavioral Health & Social Service Providers
Social Worker
MA1025981

Other Provider Identifiers:

IssuerNumberStateType
TUFTS459396MA01
BLUE CROSS BLUE SHEILD70010000P07386MA01
P20171MA04
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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