Gathering Tank
NPI #1225852072 in Brookline, Massachusetts
Provider Information
- NPI Number
- 1225852072
- Entity Type
- Organization
- Organization Name
- Gathering Tank
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Nov 8, 2024
- Last Updated
- Nov 8, 2024
Practice Location
- Address
- 42 LOWELL RD
- City
- Brookline
- State
- Massachusetts
- ZIP Code
- 02445-6148
- Phone
- (617) 701-6073
Authorized Official
- Name
- MR. ANDRE GUILLEMIN, LICSW
- Title
- OWNER/PSYCHOTHERAPIST
- Phone
- (607) 701-6073
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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