| Anna Gagnon Therapy, Llc | |
|
955 W Wade Hampton Blvd Ste 4b Greer SC 29650-1296 | |
| (864) 640-2329 | |
| Not Available |
| Full Name | Anna Gagnon Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 955 W Wade Hampton Blvd Ste 4b, Greer, South Carolina |
| Authorized Official Name and Position | George L Gagnon (BUSINESS MANAGER) |
| Authorized Official Contact | 8646402329 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Gagnon Therapy, Llc 955 W Wade Hampton Blvd Ste 4b Greer SC 29650-1296 Ph: (864) 640-2329 | Anna Gagnon Therapy, Llc 955 W Wade Hampton Blvd Ste 4b Greer SC 29650-1296 Ph: (864) 640-2329 |
| NPI Number | 1407312861 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 02/11/2019 |
| Medicare PECOS PAC ID | 4981945094 |
|---|---|
| Medicare Enrollment ID | O20190417001776 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407312861 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Anna K Gagnon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336427046 PECOS PAC ID: 9133377807 Enrollment ID: I20120921000373 |
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