Individual
MS. JEANETTE ALICEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 MAPLE ST, SPRINGFIELD, MA 01103-2203
(413) 846-0445
(413) 846-0447
Mailing address
147 NORMAN ST, WEST SPRINGFIELD, MA 01089-5003
(413) 736-8329
(413) 732-5362
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/21/2010
Last updated
10/21/2010
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