Individual
GORDON CHINAMASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
391 VARNUM AVE, LOWELL, MA 01854-2119
(978) 455-3397
Mailing address
82 BRICK KILN RD UNIT 5105, CHELMSFORD, MA 01824-3264
(682) 365-3785
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
222718
MA
Other
Enumeration date
06/20/2017
Last updated
06/20/2017
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