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Individual
THOMAS R PLUNKETT
Active
Individual
THOMAS R PLUNKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
104835
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101537
MBC
MA
01
—
15475
HEALTH NEW ENGLAND
MA
01
—
P03097
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
11/01/2006
Last updated
11/26/2012
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