Marykate P Shorter LICSW

NPI 1639360605 - Social Worker - 1041C0700X

NPI Details
NPI 1639360605
Gender Female
Enumeration Date 08/06/2007
Last Updated 08/06/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
300 OCEAN AVE.
MGH-REVERE HEALTHCARE CENTER
REVERE MA, 02151, US
Phone (781) 485-6100
Fax
Business Location
416 MARLBOROUGH ST APT 708
BOSTON MA, 02115-1507, US
Phone (617) 510-9458
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 111447
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According to our database, Marykate P Shorter LICSW NPI is 1639360605, taxonomy code is 1041C0700X and license number is 111447, license state is located at Massachusetts. Marykate P Shorter LICSW physically located at 300 Ocean Ave., Revere MA, 02151. NPI Number Marykate P Shorter LICSW has the Individual type.

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1639360605 NPI number is provided on an as is basis without warranty of any kind. 1639360605 is maintained by the National Plan & Provider Enumeration System. The contents of Marykate P Shorter LICSW are for informational purposes only.