Provider Information for 1659438794
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Mrs. THERESA L. GACHUNA LICSW
Other Names:Former Name:Miss THERESA LORRAINE GACHUNA MSWSex: Female
NPI: 1659438794
Last Updated: 2015-09-24
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1659438794 | ||||||||
| Enumeration Date | 2007-01-01 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 326 NICHOLS ROAD FITCHBURG, MA 01420 United States Phone: 978-878-8516 | Fax:978-878-8418 | ||||||||
| Primary Practice Address | 175 CONNORS STREET GARDNER, MA 01440 United States Phone: 978-410-6131 | Fax:978-410-6106 | ||||||||
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