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NPI Code Detail

MEDICARE: KELLY ANN MCGUINNESS LCSW

MEDICARE: KELLY ANN MCGUINNESS LCSW
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 Worker215791MA

General Provider Information

NPI Number : 1295965879
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY ANN MCGUINNESS LCSW
Provider Business Mailing Address
First Line : 64 INDUSTRIAL PARK RD
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-4881
Country : US
Telephone Number : 508-747-2012
Fax Number : 508-747-4898
Provider Business Practice Location Address
First Line : 32 CRESCENT ST
Second Line :
City : KINGSTON
State : MA
Zip : 02364-2255
Country : US
Telephone Number : 508-747-2012
Fax Number : 508-747-4898
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2009
Last Update Date : 02/21/2020

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Directions to “ KELLY ANN MCGUINNESS LCSW” Practice Location

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