| Shayegani | |
|
41 Lila Rd Jamaica Plain MA 02130-3411 | |
| (617) 820-8785 | |
| Not Available |
| Full Name | Shayegani |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 41 Lila Rd, Jamaica Plain, Massachusetts |
| Authorized Official Name and Position | Susan Shayegani (OWNER) |
| Authorized Official Contact | 8572030409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shayegani 41 Lila Rd Jamaica Plain MA 02130-3411 Ph: (617) 820-8785 | Shayegani 41 Lila Rd Jamaica Plain MA 02130-3411 Ph: (617) 820-8785 |
| NPI Number | 1699106369 |
|---|---|
| Provider Enumeration Date | 12/06/2013 |
| Last Update Date | 12/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699106369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 117716 (Massachusetts) | Primary |
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