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Organization

MADONNA HALL GOOD SHEPHERD SERVICES

Active
Other names
Maria Droste Counseling Services
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL SHANAHAN LMFT (EXECUTIVE DIRECTOR)
(671) 471-5686
Entity
Organization

Contact information

Practice address
1354 HANCOCK ST, SUITE 209, QUINCY, MA 02169-5109
(617) 471-5686
(617) 471-6622
Mailing address
1354 HANCOCK ST, SUITE 209, QUINCY, MA 02169-5109
(617) 471-5686
(617) 471-6622

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1379
MA
225700000X
Massage Therapist
144
MA

Other

Enumeration date
10/02/2013
Last updated
10/02/2013
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