Gwilliam, Russell Jeremy

Gwilliam, Russell Jeremy is an sole proprietor health care provider with primary practice located at 44 Front St , Worcester MA 01608-1733. He recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as his primary health care specialty. Gwilliam, Russell Jeremy can be contacted via phone (508) 753-0321.

Contact Information

Primary practice address
44 Front St Worcester MA 01608-1733
Phone: (508) 753-0321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X 1745 Massachusetts

Profile Details

NPI number 1346557543
LBN Legal business name Gwilliam, Russell Jeremy
Credentials MA, LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2010
Last updated Sep 9th, 2010 - about 16 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.

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