Organization
AGESPAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOAN HATEM-ROY LICSW (CEO)
(978) 946-1361
Entity
Organization
Contact information
Practice address
280 MERRIMACK ST STE 400, LAWRENCE, MA 01843-1787
(800) 892-0890
Mailing address
280 MERRIMACK ST STE 400, LAWRENCE, MA 01843-1787
(800) 892-0890
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110024294
—
MA
Enumeration date
05/25/2018
Last updated
04/25/2022
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