Individual
KATHLEEN MICHELLE WILBUR GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
Mailing address
110 W SQUANTUM ST, NORTH QUINCY, MA 02171-2122
(617) 376-3000
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
11/29/2023
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