Provider Demographics
NPI:1811307853
Name:ELDOUEIHI, MARGARET COURTNEY (LICSW)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:COURTNEY
Last Name:ELDOUEIHI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:FRANCES
Other - Last Name:COURTNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:FAMILY AND COMMUNITY RESOURCES INC
Mailing Address - Street 2:18 NEWTON STREET
Mailing Address - City:BROCKTON
Mailing Address - State:MA
Mailing Address - Zip Code:02301
Mailing Address - Country:US
Mailing Address - Phone:508-583-6498
Mailing Address - Fax:
Practice Address - Street 1:FAMILY AND COMMUNITY RESOURCES INC
Practice Address - Street 2:18 NEWTON STREET
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301
Practice Address - Country:US
Practice Address - Phone:508-583-6498
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
MA1199801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker