Provider Information for 1467420281
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Ms. KATHERINE A GWOZDZ LICSW
Sex: Female
NPI: 1467420281
Last Updated: 2009-06-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1467420281 | ||||||||||||
| Enumeration Date | 2006-03-08 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | PO BOX 226 190 HOWLAND AVE. (REAR) ADAMS, MA 01220-0226 United States Phone: 413-743-0100 | Fax:413-743-0110 | ||||||||||||
| Primary Practice Address | 190 HOWLAND AVE REAR ADAMS, MA 01220-1124 United States Phone: 413-743-0100 | Fax:413-743-0110 | ||||||||||||
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