Individual
GRETCHEN GAUTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT
Contact information
Practice address
34 DEFENSE ST, ANNAPOLIS, MD 21401-3577
(443) 214-5097
Mailing address
34 DEFENSE ST, ANNAPOLIS, MD 21401-3577
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT1185
MD
Other
Enumeration date
12/20/2017
Last updated
12/20/2017
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