Individual
DENNIS GOGUEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
384 SEWALL ST, BOYLSTON, MA 01505-2102
(508) 414-2867
(508) 869-0268
Mailing address
384 SEWALL ST, BOYLSTON, MA 01505-2102
(508) 414-2867
(508) 869-3417
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1026850
MA
Other
Enumeration date
05/16/2016
Last updated
05/16/2016
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