Individual
EDWARD MENDONCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 MYLES STANDISH BLVD, TAUNTON, MA 02780-7387
(508) 942-2698
Mailing address
350 MYLES STANDISH BLVD, TAUNTON, MA 02780-7387
(508) 942-2698
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
223505
MA
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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