Janet Jardine McGonagle, LCSW
Social Worker in Bedford, MA. Individual provider (NPI-1).
NPI number1164052999
StatusActive
Last updated in NPPESJan 21, 2020
Details
- NPI
- 1164052999
- Entity type
- Individual (NPI-1)
- Name
- Janet Jardine McGonagle
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2020
- Certification date
- Jan 21, 2020
- Last updated
- Jan 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | 224544 | MA | Yes |
Practice location
200 Springs Rd # 122Bedford, MA 01730-1114
Phone 781-228-8698
Mailing address
13 Overlook DrBedford, MA 01730-1330
Phone 781-275-4075
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