Individual
LAUREN GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 PLEASANT ST, MALDEN, MA 02148-5100
(781) 322-1503
Mailing address
6 PLEASANT ST, MALDEN, MA 02148-5100
(781) 322-1503
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
217773
MA
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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