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Individual
THOMAS J. TANGUAY
Active
Individual
THOMAS J. TANGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100551
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851993
—
MA
01
—
1891901
MBHP AKA THE PARTNERSHIP
MA
01
—
22414-1
BLUE CROSS OF RI
RI
01
—
411588
TUFTS HEALTH CARE
MA
01
—
P01672
BLUE CROSS OF MA
MA
Enumeration date
09/26/2005
Last updated
07/13/2026
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