Kate Gannon

NPI #1326405481 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1326405481
Entity Type: Individual
Name: Kate Gannon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 20, 2016
Last Updated: Jan 20, 2016

Practice Location

Address: 249 ROOSEVELT AVE
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-2134
Phone: (401) 490-7320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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