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Organization
432 INTENTIONAL THERAPEUTICS INC
Active
Organization
432 INTENTIONAL THERAPEUTICS INC
Active
Other names
Louisa Gould, LICSW
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA GOULD LICSW (OWNER AND PROVIDER)
(774) 255-0635
Entity
Organization
Contact information
Practice address
400 NATHAN ELLIS HWY STE B, MASHPEE, MA 02649-3121
(774) 255-0635
Mailing address
PO BOX 56, FALMOUTH, MA 02541-0056
(774) 255-0635
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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