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NPI Code Detail

MEDICARE: MATHILDA GRACE DE OCEJO LCSW

MEDICARE:   MATHILDA GRACE DE OCEJO  LCSW
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 Worker231300MA

General Provider Information

NPI Number : 1467947283
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATHILDA GRACE DE OCEJO LCSW
Provider Business Mailing Address
First Line : 10 MAIN ST
Second Line :
City : FLORENCE
State : MA
Zip : 01062-3160
Country : US
Telephone Number : 413-341-9400
Fax Number :
Provider Business Practice Location Address
First Line : 10 MAIN ST
Second Line :
City : FLORENCE
State : MA
Zip : 01062-3160
Country : US
Telephone Number : 413-341-9400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2018
Last Update Date : 04/06/2026

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Directions to “ MATHILDA GRACE DE OCEJO LCSW” Practice Location

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