Individual
JORDAN GYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
108 GROVE ST STE 200, WORCESTER, MA 01605-2651
(866) 420-5113
Mailing address
PO BOX 27864, BELFAST, ME 04915-2030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
Other
Enumeration date
10/11/2021
Last updated
10/11/2021
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