Individual
JASON OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 BLACKBURN CTR, GLOUCESTER, MA 01930-2268
(617) 487-2940
Mailing address
3 BLACKBURN CTR, GLOUCESTER, MA 01930-2268
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/26/2019
Last updated
01/26/2019
About Stedi
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