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1912186891
PATRICK GALLIVAN
WORCESTER, MA
NPI
1912186891
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-10-29
Last Update Date
2010-07-28
Business Address
Mr. PATRICK GALLIVAN
340 MAIN ST
WORCESTER, MA 01608-1604
Phone number: 508-523-8727
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Mailing Address
Mr. PATRICK GALLIVAN
17 HOMESTEAD AVE
AUBURN, MA 01501-2038
Phone number: 508-523-8727
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