Individual
MRS. PENELOPE HARDING TAMULIONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
470 MAIN ST, MASHPEE, MA 02649-2047
(508) 760-1475
Mailing address
470 MAIN ST, MASHPEE, MA 02649-2047
(508) 760-1475
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3019889
MA
Other
Enumeration date
03/13/2012
Last updated
04/02/2012
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