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Organization
DLD-PARELLA
Active
Organization
DLD-PARELLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS A DIAZ (CEO)
(774) 441-4501
Entity
Organization
Contact information
Practice address
19 VINSON ST, WORCESTER, MA 01605-3990
(774) 441-4501
Mailing address
19 VINSON ST APT 3, WORCESTER, MA 01605-3990
(774) 441-4501
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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