Gagnon, Marjorie E
Gagnon, Marjorie E is an individual health care provider with primary practice located at 21 Everett Ave , Belchertown MA 01007-9159. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gagnon, Marjorie E can be contacted via phone (413) 323-4773.Contact Information
Primary practice address
21 Everett Ave
Belchertown MA 01007-9159
Phone: (413) 323-4773
Fax: (413) 323-7687
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1024547 | Massachusetts |
Profile Details
| NPI number | 1730217274 |
|---|---|
| LBN Legal business name | Gagnon, Marjorie E |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730217274 | NPPES |
| Other | P07463 | BC BS |
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