SHANE J GADWAH

WORCESTER, MA
NPI1023512472
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-03-21
Last Update Date2018-03-21
Business Address
Mr. SHANE J GADWAH
15 NORTHAMPTON ST
WORCESTER, MA 01605-3415
Phone number: 508-755-8990
Mailing Address
Mr. SHANE J GADWAH
15 NORTHAMPTON ST
WORCESTER, MA 01605-3415
Phone number:
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