Individual
TONYA GOURDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
181 UNION ST, SUITE 5, LYNN, MA 01901-1311
(781) 244-1950
Mailing address
126 GREENFIELD RD, MATTAPAN, MA 02126-3226
(860) 938-5114
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/23/2017
Last updated
01/23/2017
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