Individual
CHRISTINE GOUGH GAGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
33 SUNSET DR, NORTHBOROUGH, MA 01532-2317
(508) 393-2862
Mailing address
33 SUNSET DR, NORTHBOROUGH, MA 01532-2317
(508) 393-2862
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1021125-SW-LICSW
MA
Other
Enumeration date
08/30/2018
Last updated
08/30/2018
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