Individual
SAMANTHA GULLENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
160 GOULD ST, NEEDHAM, MA 02494-2313
(781) 559-4900
Mailing address
54 COURTNEY WAY, RAYNHAM, MA 02767-1161
(774) 222-3147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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