JACK ALAN MINE

QUINCY, MA
NPI1427144633
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: MA  105387)
Enumeration Date2006-10-05
Last Update Date2007-07-08
Business Address
Mr. JACK ALAN MINE M.S.W.
460 QUINCY AVE COMMUNITY OUTPATIENT SERVICES/SSMH
QUINCY, MA 02169-8130
Phone number: 617-774-6090
Mailing Address
Mr. JACK ALAN MINE M.S.W.
460 QUINCY AVE COMMUNITY OUTPATIENT SERVICES/SSMH
QUINCY, MA 02169-8130
Phone number: 617-774-6090