Individual
JESSICA LEE GWINN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
221 WILLOW ST, YARMOUTH PORT, MA 02675-1770
(508) 737-3491
Mailing address
221 WILLOW ST, SOUTH YARMOUTH, MA 02664-3726
(774) 212-9106
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/05/2018
Last updated
03/09/2023
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