Individual
ASHLEY MAHONEY MADGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 BARNSTABLE RD, HYANNIS, MA 02601-2902
(508) 862-0514
Mailing address
27 WASHINGTON AVE, BUZZARDS BAY, MA 02532-3185
(508) 789-1089
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
314996
MA
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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