Individual
JACK M MCEVILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 SCHOOL ST, GARDNER, MA 01440-2781
(978) 488-8888
(978) 632-6083
Mailing address
42 MOUNTAIN VIEW RD, LEOMINSTER, MA 01453-3439
(978) 870-2292
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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