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NPI Code Detail

MEDICARE: MS. JANICE HEYWARD HIGGINS LICSW

MEDICARE: MS. JANICE HEYWARD HIGGINS 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 Worker102532MA

General Provider Information

NPI Number : 1558499962
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JANICE HEYWARD HIGGINS LICSW
Provider Business Mailing Address
First Line : 1120 HANCOCK ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-4313
Country : US
Telephone Number : 617-471-8400
Fax Number : 617-376-0619
Provider Business Practice Location Address
First Line : 1120 HANCOCK ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-4313
Country : US
Telephone Number : 617-471-8400
Fax Number : 617-376-0619
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/21/2015

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