Doctor Name: | MRS. ROSITA AGUILO MAHONY |
NPI Number: | 1194795278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, BCD |
License Number: | 3221 |
Business Practice Address: | Farenholt Street Building K-1 Agana Heights, GU - 96919 |
Business Phone Number: | 6713449401 |
Business Fax Number: | 6713449522 |
Mailing Address: | Psc 490 Box 9036, FPO |
State: | AP |
Postal Code: | 96538 |
Phone Number: | 671 3449401 |
Fax Number: | 671 3449522 |
NPI Enumeration Date: | 01/23/2006 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 3221 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |