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NPI Code Detail

MEDICARE: SALESIA T HUGHES M.ED

MEDICARE: SALESIA T HUGHES M.ED
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 Worker

General Provider Information

NPI Number : 1699900019
Entity Type Code : Individual
Provider Name (Legal Business Name) : SALESIA T HUGHES M.ED
Provider Business Mailing Address
First Line : 12 OAKHURST ST
Second Line :
City : DORCHESTER CENTER
State : MA
Zip : 02124-3221
Country : US
Telephone Number : 617-543-6653
Fax Number : 617-541-8178
Provider Business Practice Location Address
First Line : 520 DUDLEY ST
Second Line : CHILDREN SERVICES OF ROXBURY
City : ROXBURY
State : MA
Zip : 02119-2769
Country : US
Telephone Number : 617-989-9438
Fax Number : 617-541-8178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2009
Last Update Date : 05/29/2009

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Directions to “ SALESIA T HUGHES M.ED” Practice Location

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