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71 Wigglesworth St Malden MA 02148-7436 | |
| (617) 420-2296 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 71 Wigglesworth St, Malden, Massachusetts |
| Authorized Official Name and Position | Patrick Thomas Hale (OWNER & CEO) |
| Authorized Official Contact | 6174202296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
51 Pleasant St # 1179 Malden MA 02148-4904 Ph: (617) 420-2296 | 71 Wigglesworth St Malden MA 02148-7436 Ph: (617) 420-2296 |
| NPI Number | 1881404887 |
|---|---|
| Provider Enumeration Date | 01/10/2025 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881404887 | NPI | - | NPPES |
| LICSW119955 | Other | MA | BOARD OF REGISTRATION OF SOCIAL WORK |
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