Individual
GABRIELLE GROTH HOOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CONSTITUTION PLZ, CHARLESTOWN, MA 02129-2025
(617) 724-5202
Mailing address
9 WALKER ST, SOMERVILLE, MA 02144-1622
(860) 309-6870
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
11094
MA
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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