Individual
COLLIN MACGOWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
217 GASTON ST, MEDFORD, MA 02155-1200
(774) 230-9465
Mailing address
1968 CENTRAL AVE, NEEDHAM, MA 02492-1410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
229762
MA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
02/01/2017
Last updated
09/28/2023
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