Individual
JESSICA GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
166 GROVE ST, NORTHAMPTON, MA 01060-3608
(413) 548-4688
Mailing address
166 GROVE ST, NORTHAMPTON, MA 01060-3608
(413) 548-4688
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
111551
MA
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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