Individual
JOHN LOUIS GAUTHIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
6 COLD SPRING LN, HADLEY, MA 01035-3508
(413) 885-0954
Mailing address
6 COLD SPRING LN, HADLEY, MA 01035-3508
(413) 885-0954
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
105162
MA
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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