Doctor Name: | MARY RONDEAU |
NPI Number: | 1295051530 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, MED |
License Number: | |
Business Practice Address: | 98 Lynn Ave Hull, MA - 020452267 |
Business Phone Number: | 6174718400 |
Business Fax Number: | |
Mailing Address: | 98 Lynn Ave, HULL |
State: | MA |
Postal Code: | 020452267 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/12/2010 |
NPI Last Update Date: | 04/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |