Individual
MS. CATHERINE A TAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
(978) 970-2225
Mailing address
161 JACKSON ST, LOWELL, MA 01852-2103
(978) 937-9700
(978) 970-2225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
118728
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S400215246
MEDICARE PTAN
MA
Enumeration date
05/14/2007
Last updated
06/01/2015
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