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Organization
MARA THERAPY LLC
Active
Organization
MARA THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARA ANN GOODMAN-DAVIES LICSW (SINGLE MEMBER)
(413) 344-5221
Entity
Organization
Contact information
Practice address
17 BISHOP EST, LENOX, MA 01240-2803
(413) 344-5221
Mailing address
PO BOX 2220, LENOX, MA 01240-5220
(413) 344-5221
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
12/28/2021
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