Organization
GOLDEN BOXER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN E GALLAGHER LICSW (OWNER)
(617) 596-7071
Entity
Organization
Contact information
Practice address
175 DERBY ST, SUITE 21-22, HINGHAM, MA 02043-4007
(781) 214-4191
Mailing address
315 GARDNER ST, HINGHAM, MA 02043-3837
(617) 596-7071
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
112152
MA
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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