Individual
KATE GANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
249 ROOSEVELT AVE, PAWTUCKET, RI 02860-2134
(401) 490-7320
Mailing address
2150 PLEASANT ST, PO BOX 171, DIGHTON, MA 02715-1502
(508) 789-0814
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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