Individual
JARED SETH GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
50 PLEASANT ST, NORTHAMPTON, MA 01060-4127
(413) 584-6855
Mailing address
715 FEDERAL ST, BELCHERTOWN, MA 01007-9360
(202) 841-7822
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
225527
MA
Other
Enumeration date
10/31/2019
Last updated
12/17/2019
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