Individual
GEOFFREY A GADOW
Active
Individual
GEOFFREY A GADOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
CC4468
ME
101YP2500X
Professional Counselor
Primary
PC012350
PA
Other
Enumeration date
11/29/2006
Last updated
08/06/2020
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