Individual
CAROLYN GAGNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 PLEASANT PARK RD, WINTHROP, MA 02152-2723
(617) 835-1473
Mailing address
46 PLEASANT PARK RD, WINTHROP, MA 02152-2723
(617) 835-1473
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
121947
MA
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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