MEDICARE: MS. MARTHA L. ARTHUR 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
1	1041C0700X	Clinical Social Worker	100268	MA

General Provider Information

NPI Number	:	1932219060
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARTHA L. ARTHUR LICSW

Provider Business Mailing Address
First Line	:	36 WESTON AVE
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02170-1833
Country	:	US
Telephone Number	:	617-786-0137
Fax Number	:	617-479-4798

Provider Business Practice Location Address
First Line	:	36 WESTON AVE
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02170-1833
Country	:	US
Telephone Number	:	617-786-0137
Fax Number	:	617-479-4798

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	07/08/2007

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