Individual
JENNIFER L GONSALVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-2420
(774) 628-1000
(508) 997-0765
Mailing address
497 BELLEVILLE AVE, NEW BEDFORD, MA 02746-2420
(774) 628-1000
(508) 997-0765
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/31/2012
Last updated
10/31/2012
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