Individual
GINA LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 SHIP POND RD, PLYMOUTH, MA 02360-1849
(508) 224-8041
Mailing address
PO BOX 91, MONPONSETT, MA 02350-0091
(206) 291-8049
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/22/2014
Last updated
03/22/2014
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