MARK A GONSALVES

FALMOUTH, MA
NPI1891915666
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: MA  1531)
Enumeration Date2007-04-26
Last Update Date2007-07-08
Business Address
Mr. MARK A GONSALVES LADC 1
200 TER HEUN DR
FALMOUTH, MA 02540-2525
Phone number: 508-540-6550
Mailing Address
Mr. MARK A GONSALVES LADC 1
15 OAK ST
NEW BEDFORD, MA 02740-3343
Phone number: 508-992-3369
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