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Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GINA TILLOTSON-CORDY BSW (CLINICIAN)
(857) 249-9130
Entity
Organization

Contact information

Practice address
30 DENNISON AVE, SWAMPSCOTT, MA 01907-1422
(857) 249-9130
Mailing address
30 DENNISON AVE, SWAMPSCOTT, MA 01907-1422
(857) 249-9130

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
05/31/2010
Last updated
05/31/2010
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