Individual
MR. GARY J BREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 CATHARINE ST, WORCESTER, MA 01605-2709
(508) 754-3006
(508) 754-2971
Mailing address
25 CATHARINE ST, WORCESTER, MA 01605-2709
(508) 754-3006
(508) 754-2971
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6675
MA
101YS0200X
School Counselor
321767
MA
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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