Organization
432 INTENTIONAL THERAPEUTICS INC
Active
Other names
Louisa Gould, LICSW
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA GOULD LICSW (OWNER AND PROVIDER)
(774) 255-0635
Entity
Organization
Contact information
Practice address
400 NATHAN ELLIS HWY STE B, MASHPEE, MA 02649-3121
(774) 255-0635
Mailing address
PO BOX 56, FALMOUTH, MA 02541-0056
(774) 255-0635
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/24/2022
Last updated
08/24/2022
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