Individual
DEBORAH A MONGEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
105 PINE ST, SUITE 1, WALTHAM, MA 02453-5355
(781) 893-2462
Mailing address
2311 JEFFERSON PL, BELLINGHAM, MA 02019-6301
(508) 657-1824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1032076
MA
Other
Enumeration date
08/20/2006
Last updated
12/04/2014
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