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Provider Information for 1972056711


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JULIA GAW


Sex: Female

NPI: 1972056711
Last Updated: 2024-10-02
Certification Date: 2024-10-02

Details

NameValue
NPI1972056711
Enumeration Date2016-07-28
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 70 HOOD AVE
RUMFORD, RI 02916-1545
United States

Phone: 973-809-8253 | Fax:401-253-0003
 
Primary Practice Address 70 HOOD AVE
RUMFORD, RI 02916-1545
United States

Phone: 973-809-8253 | Fax:401-253-0003
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthMALMHC10000315
Yes 101YM0800X - Counselor - Mental Health
No 101YM0800X - Counselor - Mental HealthRIMHC01137