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Organization
MADONNA HALL GOOD SHEPHERD SERVICES
Active
Organization
MADONNA HALL GOOD SHEPHERD SERVICES
Active
Other names
Maria Droste Counseling Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL SHANAHAN LMFT (EXECUTIVE DIRECTOR)
(671) 471-5686
Entity
Organization
Contact information
Practice address
1354 HANCOCK ST, SUITE 209, QUINCY, MA 02169-5109
(617) 471-5686
(617) 471-6622
Mailing address
1354 HANCOCK ST, SUITE 209, QUINCY, MA 02169-5109
(617) 471-5686
(617) 471-6622
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1379
MA
225700000X
Massage Therapist
144
MA
Other
Enumeration date
10/02/2013
Last updated
10/02/2013
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