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Individual

MR. JAMES ROGER SCHRAGE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
60 HODGES AVE, TAUNTON, MA 02780
(508) 977-3663
Mailing address
136 BABCOCK ST, QUINCY, MA 02169-2940
(617) 481-2940

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
Primary
9859
MA
225400000X
Rehabilitation Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7068
CA
05
7420
CA
Enumeration date
07/30/2007
Last updated
07/11/2019
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