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1033828876
ANDREW N/A GAUGHAN
NEW BEDFORD, MA
NPI
1033828876
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: MA 12900)
Enumeration Date
2022-11-21
Last Update Date
2022-11-21
Business Address
MR. ANDREW N/A GAUGHAN LADC 11
8 KILBURN ST
NEW BEDFORD, MA 02740-7321
Phone number: 508-979-1122
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Mailing Address
MR. ANDREW N/A GAUGHAN LADC 11
8 KILBURN ST
NEW BEDFORD, MA 02740-7321
Phone number: 508-979-1122
Copy
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