Individual
SHAUE-FUNG C PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
316 HANCOCK ST, QUINCY, MA 02171-2292
(617) 984-8747
(617) 984-8711
Mailing address
40 SPRING LN, SHARON, MA 02067-2261
(781) 806-5106
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
1019364
MA
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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