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NPI Code Detail

MEDICARE: MARY AMOO

MEDICARE: MARY AMOO
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1306770847
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY AMOO
Provider Business Mailing Address
First Line : 391 VARNUM AVE
Second Line :
City : LOWELL
State : MA
Zip : 01854-2119
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 391 VARNUM AVE
Second Line :
City : LOWELL
State : MA
Zip : 01854-2119
Country : US
Telephone Number : 617-441-1800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2026
Last Update Date : 06/10/2026

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Directions to “ MARY AMOO ” Practice Location

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