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NPI Code Detail

MEDICARE: DEBORAH ANN SHEA LICSW

MEDICARE: DEBORAH ANN SHEA 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 Worker1027337MA

General Provider Information

NPI Number : 1295840866
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEBORAH ANN SHEA LICSW
Provider Business Mailing Address
First Line : 301 BROADWAY
Second Line : CHELSEA COUNSELING SERVICES
City : CHELSEA
State : MA
Zip : 02150-2807
Country : US
Telephone Number : 617-912-7989
Fax Number : 617-887-1889
Provider Business Practice Location Address
First Line : 301 BROADWAY
Second Line : CHELSEA COUNSELING SERVICES
City : CHELSEA
State : MA
Zip : 02150-2807
Country : US
Telephone Number : 617-912-7989
Fax Number : 617-887-1889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2006
Last Update Date : 07/08/2007

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Directions to “ DEBORAH ANN SHEA LICSW” Practice Location

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