Individual
GINA BAIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.W., LICSW
Contact information
Practice address
640 CENTRE ST, JAMAICA PLAIN, MA 02130-2555
(617) 983-4182
Mailing address
640 CENTRE ST, JAMAICA PLAIN, MA 02130-2555
(617) 983-4182
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/13/2009
Last updated
01/04/2012
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