Provider Demographics
NPI:1720557812
Name:O'RAHILLY, MAURA JUNE
Entity Type:Individual
Prefix:
First Name:MAURA
Middle Name:JUNE
Last Name:O'RAHILLY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 ASHBURTON AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:02050-6538
Mailing Address - Country:US
Mailing Address - Phone:508-826-2763
Mailing Address - Fax:
Practice Address - Street 1:71 ALDEN ST
Practice Address - Street 2:
Practice Address - City:DUXBURY
Practice Address - State:MA
Practice Address - Zip Code:02332-3878
Practice Address - Country:US
Practice Address - Phone:781-934-7650
Practice Address - Fax:781-934-6080
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-19
Last Update Date:2018-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1117861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical