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Individual

DAVID GOTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LICSW

Contact information

Practice address
159 HOPE ST, GREENFIELD, MA 01301-3518
(413) 773-3568
Mailing address
159 HOPE ST, BOX 89, GREENFIELD, MA 01301-3518
(413) 773-3568

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
111281
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GOPO7542
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/18/2007
Last updated
10/02/2014
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