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Individual
MR. JAMES F MATTIMORE
Active
Individual
MR. JAMES F MATTIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1030269
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1035230
FALLON HEALTH CARE
MA
01
—
115422
UNITED BEHAVIORAL HEALTH
MA
01
—
27373-8
BLUECROSSBLUESHIELD
RI
01
—
356487
BCBS MAGELLAN
MA
01
—
466870
TRICARE
MA
01
—
792950
TUFTS HEALTH
MA
01
—
P07565
BLUECROSSBLUESHIELD
MA
Enumeration date
07/10/2006
Last updated
07/08/2007
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