Shane William Macdonald, LCSW
NPI #1174124226 in Medford, Massachusetts
Provider Information
- NPI Number
- 1174124226
- Entity Type
- Individual
- Name
- Shane William Macdonald, LCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Social Worker
- Credential
- LCSW
- Enumeration Date
- Nov 5, 2020
- Last Updated
- Nov 5, 2020
Practice Location
- Address
- 20 STEARNS AVE
- City
- Medford
- State
- Massachusetts
- ZIP Code
- 02155-5620
- Phone
- (860) 964-9398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
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