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Organization
GATHERING TANK
Active
Organization
GATHERING TANK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE GUILLEMIN LICSW (OWNER/PSYCHOTHERAPIST)
(607) 701-6073
Entity
Organization
Contact information
Practice address
42 LOWELL RD, BROOKLINE, MA 02445-6148
(617) 701-6073
Mailing address
42 LOWELL RD, BROOKLINE, MA 02445-6148
(617) 701-6073
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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