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NPI Code Detail

MEDICARE: SHAHEER MUSTAFA LICSW

MEDICARE: SHAHEER MUSTAFA 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 Worker113191MA

General Provider Information

NPI Number : 1750450938
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHAHEER MUSTAFA LICSW
Provider Business Mailing Address
First Line : 46 ORCHARD AVE
Second Line :
City : BARRINGTON
State : RI
Zip : 02806-4626
Country : US
Telephone Number : 617-549-9863
Fax Number : 401-245-8148
Provider Business Practice Location Address
First Line : 406 MASSACHUSETTS AVE
Second Line :
City : ARLINGTON
State : MA
Zip : 02474-6700
Country : US
Telephone Number : 781-643-2580
Fax Number : 781-643-2598
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2006
Last Update Date : 07/08/2007

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Directions to “ SHAHEER MUSTAFA LICSW” Practice Location

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