Provider Demographics
NPI:1518065028
Name:WAYE-LAWTON, SANDRA KATHERINE (MSW)
Entity Type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:KATHERINE
Last Name:WAYE-LAWTON
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 1:73 PRIDES CROSSING RD
Mailing Address - Street 2:
Mailing Address - City:SUDBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01776-2812
Mailing Address - Country:US
Mailing Address - Phone:978-443-3302
Mailing Address - Fax:
Practice Address - Street 1:73 PRIDES CROSSING RD
Practice Address - Street 2:
Practice Address - City:SUDBURY
Practice Address - State:MA
Practice Address - Zip Code:01776-2812
Practice Address - Country:US
Practice Address - Phone:978-443-3302
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1043661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical