Individual
BEATRIZ MAIMONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1046 CAMBRIDGE ST., CAMBRIDGE, MA 02139
(617) 864-7600
Mailing address
1046 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1407
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1025219
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1025219
MASSACHUSETTS STATE BOARD OF SOCIAL WORK
MA
Enumeration date
09/24/2013
Last updated
09/24/2013
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