MEDICARE: MAURA ANN GILMORE LMHC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1346498490
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAURA ANN GILMORE LMHC

Provider Business Mailing Address
First Line	:	7 RAILROAD AVE STE C
Second Line	:
City	:	BEDFORD
State	:	MA
Zip	:	01730-2145
Country	:	US
Telephone Number	:	617-512-9762
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 RAILROAD AVE STE C
Second Line	:
City	:	BEDFORD
State	:	MA
Zip	:	01730-2145
Country	:	US
Telephone Number	:	617-512-9762
Fax Number	:

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

Provider Enumeration Date	:	09/03/2008
Last Update Date	:	02/02/2011

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