Polhamus, Tegan Mallary
Polhamus, Tegan Mallary is an individual health care provider with primary practice located at 3 Blackburn Center , Gloucester MA 01930. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Polhamus, Tegan Mallary can be contacted via phone (978) 283-7793.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 221026 | Massachusetts |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 120986 | Massachusetts |
Profile Details
| NPI number | 1063709806 |
|---|---|
| LBN Legal business name | Polhamus, Tegan Mallary |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2011 |
| Last updated | Jan 30th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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