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Individual
MR. JOHN BRIAN MAHONEY
Active
Individual
MR. JOHN BRIAN MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
44SC05503500
NJ
1041S0200X
School Social Worker
44SL05514900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0021806
—
NJ
01
—
BA526562
MEDICARE
NJ
Enumeration date
04/22/2010
Last updated
07/11/2012
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