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NPI Code Detail

MEDICARE: ALISON MAHONEY

MEDICARE: ALISON MAHONEY
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 : 1679968556
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISON MAHONEY
Provider Business Mailing Address
First Line : 811 CENTRE ST APT 4
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-2767
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1125 CENTRE ST
Second Line :
City : JAMAICA PLAIN
State : MA
Zip : 02130-3445
Country : US
Telephone Number : 617-524-3116
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2015
Last Update Date : 03/30/2015

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Directions to “ ALISON MAHONEY ” Practice Location

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