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NPI Code Detail

MEDICARE: JUNIE JOSEPH LICSW

MEDICARE: JUNIE JOSEPH LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker116440MA

General Provider Information

NPI Number : 1205310810
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUNIE JOSEPH LICSW
Provider Business Mailing Address
First Line : 365 EAST ST.
Second Line :
City : TEWSBURY
State : MA
Zip : 01876
Country : US
Telephone Number : 978-851-7231
Fax Number :
Provider Business Practice Location Address
First Line : 2 GRANITE AVE STE 260
Second Line :
City : MILTON
State : MA
Zip : 02186-4381
Country : US
Telephone Number : 857-203-7001
Fax Number : 857-588-7708
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2018
Last Update Date : 03/16/2026

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Directions to “ JUNIE JOSEPH LICSW” Practice Location

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