Individual
AMY MAHONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
135 WEBSTER ST, HANOVER, MA 02339-1200
(781) 982-9790
Mailing address
45 LAWSON RD, SCITUATE, MA 02066-2530
(617) 784-0915
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
1704672
MA
1041C0700X
Clinical Social Worker
Primary
111864
MA
1041S0200X
School Social Worker
1704672
MA
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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