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Individual

MRS. CLAIRE M HAGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
105 ADAMS ST, QUINCY, MA 02169-2004
(617) 773-6203
(617) 472-4987
Mailing address
105 ADAMS ST, QUINCY, MA 02169-2004
(617) 773-6203
(617) 472-4987

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5305
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
042104853 02
PACIFICARE
MA
01
LM1146
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/08/2007
Last updated
07/08/2007
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