Individual
MARY MARGARET SHANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B A
Contact information
Practice address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
Mailing address
386 STANLEY ST, FALL RIVER, MA 02720-6009
(508) 679-5222
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
458216147
PASSPORT
—
Enumeration date
09/07/2012
Last updated
09/07/2012
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