Individual
ALEATHA S MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 WASHINGTON ST, TAUNTON, MA 02780-3960
(508) 828-9116
Mailing address
1 MERCHANT ST, SHARON, MA 02067-1662
(781) 784-4944
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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