Provider Demographics
NPI:1588708564
Name:PARRA, DAWN MARIE (MSW)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:MARIE
Last Name:PARRA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 WHISPERING PINE CIR
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01606-1189
Mailing Address - Country:US
Mailing Address - Phone:508-853-1623
Mailing Address - Fax:
Practice Address - Street 1:286 LINCOLN STREET
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01605-1189
Practice Address - Country:US
Practice Address - Phone:508-853-1623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker