Individual
FATIMA MUNIAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
1611 CAMBRIDGE ST, CAMBRIDGE, MA 02138-4302
(617) 661-5515
Mailing address
147 MILK ST, PROVIDER ENROLLMENT 9TH FLOOR, BOSTON, MA 02109-4806
(617) 559-8051
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
104177
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
669494
TUFTS HEALTH PLAN
MA
01
—
PO3347
BLUE CROSS
MA
Enumeration date
05/31/2006
Last updated
04/07/2009
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