Provider Demographics
NPI:1467592519
Name:GAUDET, JEFFREY ARNOLD (MSW, LICSW)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:ARNOLD
Last Name:GAUDET
Suffix:
Gender:M
Credentials:MSW, LICSW
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Mailing Address - Street 1:PO BOX 289
Mailing Address - Street 2:
Mailing Address - City:SANDWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02563-0289
Mailing Address - Country:US
Mailing Address - Phone:774-454-4301
Mailing Address - Fax:877-727-2290
Practice Address - Street 1:681 FALMOUTH ROAD
Practice Address - Street 2:DEER CROSSING UPPER LEVEL, BUILDING C, UNIT 23E
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649
Practice Address - Country:US
Practice Address - Phone:774-454-4301
Practice Address - Fax:877-727-2290
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2022-05-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA1100161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical