Individual
BRIAN MARTIN GWOZDZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC 1
Contact information
Practice address
13 LAKESHORE RD, PEABODY, MA 01960-6514
(413) 519-4237
(855) 260-8265
Mailing address
13 LAKESHORE RD, PEABODY, MA 01960-6514
(413) 519-4237
(855) 260-8265
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1535
MA
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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