Individual
BREANNA SHANNON GAGLIARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29 MAIN ST, MILLBURY, MA 01527-2005
(508) 876-3223
Mailing address
29 MAIN ST, MILLBURY, MA 01527-2005
(508) 876-3223
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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