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Organization
MOTHERS WITH COURAGE
Active
Organization
MOTHERS WITH COURAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GENEVOR MONELL M.A. EDUCATION (CLINICIAN)
(508) 386-6155
Entity
Organization
Contact information
Practice address
1205 HYDE PARK AVE, HYDE PARK, MA 02136-2837
(508) 386-6155
Mailing address
34 HODGES AVE, APT 2, TAUNTON, MA 02780-3051
(508) 386-6155
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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