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Organization
MASSACHUSETTS GENERAL HOSPITAL REVERE HEALTHCARE CENTER
Active
Organization
MASSACHUSETTS GENERAL HOSPITAL REVERE HEALTHCARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYKATE P SHORTER LICSW (SOCIAL WORKER)
(781) 485-6112
Entity
Organization
Contact information
Practice address
300 OCEAN AVE, REVERE, MA 02151-3675
(617) 510-9458
(781) 485-6119
Mailing address
416 MARLBOROUGH ST, #708, BOSTON, MA 02115-1544
(617) 510-9458
(781) 485-6119
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
111447
MA
Other
Enumeration date
05/03/2007
Last updated
08/22/2020
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