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NPI Code Detail

MEDICARE: MRS. GENEVIEVE ELAINE MCGUINNESS LICSW

MEDICARE:  MRS. GENEVIEVE ELAINE MCGUINNESS  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
1104100000XSocial Worker115016MA

General Provider Information

NPI Number : 1356587257
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GENEVIEVE ELAINE MCGUINNESS LICSW
Provider Business Mailing Address
First Line : 49 L ST
Second Line :
City : BOSTON
State : MA
Zip : 02127-1511
Country : US
Telephone Number : 617-268-5000
Fax Number :
Provider Business Practice Location Address
First Line : 49 L ST
Second Line :
City : BOSTON
State : MA
Zip : 02127-1511
Country : US
Telephone Number : 617-268-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2008
Last Update Date : 12/28/2011

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Directions to “ MRS. GENEVIEVE ELAINE MCGUINNESS LICSW” Practice Location

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