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Individual

JASON RICHARD GOULET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
108 HIGH ST, APT. 1, NEWBURYPORT, MA 01950-3053
(978) 869-7201
Mailing address
108 HIGH ST, APT. 1, NEWBURYPORT, MA 01950-3053
(978) 869-7201

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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