| Mara M. Veronesi, Llc | |
|
123 Dwight Road, East 2 C/o John Maloney & Associates Longmeadow MA 01106 | |
| (413) 766-6933 | |
| Not Available |
| Full Name | Mara M. Veronesi, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 123 Dwight Road, East 2, Longmeadow, Massachusetts |
| Authorized Official Name and Position | Mara M Veronesi (OWNER) |
| Authorized Official Contact | 4132977662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mara M. Veronesi, Llc 123 Dwight Road, East 2 C/o John Maloney & Associates Longmeadow MA 01106 Ph: (413) 766-6933 | Mara M. Veronesi, Llc 123 Dwight Road, East 2 C/o John Maloney & Associates Longmeadow MA 01106 Ph: (413) 766-6933 |
| NPI Number | 1023712791 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Medicare PECOS PAC ID | 0648637728 |
|---|---|
| Medicare Enrollment ID | O20230605002463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023712791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Mara M Veronesi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649582404 PECOS PAC ID: 4789835364 Enrollment ID: I20121107000379 |
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