Individual
PATRICK J MAHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
39 COUNTRY CLUB RD, PEABODY, MA 01960-2735
(781) 405-7247
Mailing address
39 COUNTRY CLUB RD, PEABODY, MA 01960-2735
(781) 405-7247
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
223416
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
0
—
Enumeration date
02/05/2021
Last updated
02/05/2021
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