Organization
MIND OVER MATTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JILL KATHLEEN MASURE LICSW (OWNER)
(978) 660-0996
Entity
Organization
Contact information
Practice address
30 CRAWFORD ST, GARDNER, MA 01440-3128
(978) 660-0996
Mailing address
30 CRAWFORD ST, GARDNER, MA 01440-3128
(978) 660-0996
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
114027
MA
Other
Enumeration date
10/22/2007
Last updated
10/22/2007
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