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NPI Code Detail

MEDICARE: MS. GAIL ALLEX MAURER MSW, LICSW

MEDICARE:  MS. GAIL ALLEX MAURER  MSW, 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 Worker

General Provider Information

NPI Number : 1861792996
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. GAIL ALLEX MAURER MSW, LICSW
Provider Business Mailing Address
First Line : 8 HEATHER ST
Second Line :
City : BURLINGTON
State : MA
Zip : 01803-4205
Country : US
Telephone Number : 617-448-6264
Fax Number : 781-207-0404
Provider Business Practice Location Address
First Line : 100 TRADE CENTER, SUITE G-700,UNIT 828
Second Line :
City : WOBURN
State : MA
Zip : 01801-1851
Country : US
Telephone Number : 617-448-6264
Fax Number : 781-207-0404
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2010
Last Update Date : 11/15/2019

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Directions to “ MS. GAIL ALLEX MAURER MSW, LICSW” Practice Location

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