Provider Demographics
NPI:1366855561
Name:POULIN, SONYA (MSW)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:POULIN
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 1:1610 WORCESTER RD APT 541A
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5435
Mailing Address - Country:US
Mailing Address - Phone:203-241-3913
Mailing Address - Fax:
Practice Address - Street 1:1610 WORCESTER RD APT 541A
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5435
Practice Address - Country:US
Practice Address - Phone:203-241-3913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2014-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker