Provider Demographics
NPI:1427873256
Name:GAULEY, DEBRA E (MSW)
Entity type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:E
Last Name:GAULEY
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 PALMER LN
Mailing Address - Street 2:
Mailing Address - City:SOUTH DENNIS
Mailing Address - State:MA
Mailing Address - Zip Code:02660-2027
Mailing Address - Country:US
Mailing Address - Phone:781-690-6981
Mailing Address - Fax:
Practice Address - Street 1:345 OLD PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:SAGAMORE BEACH
Practice Address - State:MA
Practice Address - Zip Code:02562-2304
Practice Address - Country:US
Practice Address - Phone:508-333-1375
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALCSW2028836104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker