Gordon Garrison LICSW

NPI 1053446518 - Social Worker - 1041C0700X

NPI Details
NPI 1053446518
Gender Male
Enumeration Date 02/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3300 MAIN ST
SPRINGFIELD MA, 01199-1002, US
Phone (413) 794-7035
Fax
Business Location
280 CHESTNUT ST
SPRINGFIELD MA, 01199-1000, US
Phone (413) 794-5700
Fax
Toxanomy
Taxonomy Code 1041C0700X
License State Massachusetts
License Number 101133
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According to our database, Gordon Garrison LICSW NPI is 1053446518, taxonomy code is 1041C0700X and license number is 101133, license state is located at Massachusetts. Gordon Garrison LICSW physically located at 3300 Main St, Springfield MA, 01199-1002. NPI Number Gordon Garrison LICSW has the Individual type.

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1053446518 NPI number is provided on an as is basis without warranty of any kind. 1053446518 is maintained by the National Plan & Provider Enumeration System. The contents of Gordon Garrison LICSW are for informational purposes only.