Individual
GARY L ROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
22 FRONT ST, FALL RIVER, MA 02721-4302
(508) 676-1307
Mailing address
107 LARKIN AVE, WARWICK, RI 02886-5215
(401) 527-7890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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