Medford Assoc. In Mental Health | |
Zero Govenors Ave #20 Medford MA 02155 | |
(781) 396-5575 | |
Not Available |
Full Name | Medford Assoc. In Mental Health |
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Speciality | Social Worker - Clinical |
Location | Zero Govenors Ave, Medford, Massachusetts |
Authorized Official Name and Position | Catherine M Tsarouhas (DIRECTOR) |
Authorized Official Contact | 7813965575 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Medford Assoc. In Mental Health Po Box 791 Medford MA 02155 Ph: (781) 396-5575 | Medford Assoc. In Mental Health Zero Govenors Ave #20 Medford MA 02155 Ph: (781) 396-5575 |
NPI Number | 1295923605 |
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Provider Enumeration Date | 10/10/2007 |
Last Update Date | 06/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295923605 | NPI | - | NPPES |
1891529 | Medicaid | MA | |
P10196 | Other | MA | BCBS MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1017992 (Massachusetts) | Primary |
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