Individual
MR. JUAN CARLOS GORLIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
14 PORTER ST, EAST BOSTON, MA 02128-2116
(617) 912-7500
(617) 569-7890
Mailing address
159 CONCORD AVE, APT. 4A, CAMBRIDGE, MA 02138-2325
(617) 285-9149
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111695
MA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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