Individual
JAIME NICOLE GILDEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
324 CLARK ST, WORCESTER, MA 01606-1214
(774) 701-0366
Mailing address
324 CLARK ST, WORCESTER, MA 01606-1214
(774) 701-0366
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/01/2020
Last updated
04/28/2021
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