Jaime Thayer-Awoniyi
Social Worker, Clinical in Wilbraham, MA. Individual provider (NPI-1).
NPI number1497983530
StatusActive
Last updated in NPPESMay 23, 2019
Details
- NPI
- 1497983530
- Entity type
- Individual (NPI-1)
- Name
- Jaime Thayer-Awoniyi
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 28, 2009
- Last updated
- May 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 119657 | MA | Yes |
Other names
- Jaime Thayer (Former Name)
Practice location
2207 Boston RdWilbraham, MA 01095-1155
Phone 413-995-1201
Mailing address
2207 Boston RdWilbraham, MA 01095-1155
Phone 413-599-1201
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