Individual
MR. JEFFREY MICHAEL GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.C.S.W.
Contact information
Practice address
189 GLENWAY ST, DORCHESTER, MA 02121-4111
(617) 388-8088
Mailing address
138 INDEPENDENCE AVE, QUINCY, MA 02169-7724
(617) 388-8088
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
216630
MA
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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