Individual
MISS GWENNA EILEEN EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
35 CONGRESS ST, SALEM, MA 01970-5529
(978) 745-2440
Mailing address
7 MASON LN, SALISBURY, MA 01952-4014
(978) 764-4183
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
228778
MA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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