PATRICK GALLIVAN

WORCESTER, MA
NPI1912186891
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-10-29
Last Update Date2010-07-28
Business Address
Mr. PATRICK GALLIVAN
340 MAIN ST
WORCESTER, MA 01608-1604
Phone number: 508-523-8727
Mailing Address
Mr. PATRICK GALLIVAN
17 HOMESTEAD AVE
AUBURN, MA 01501-2038
Phone number: 508-523-8727