Individual
ANNALIE WALSH-COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604-3069
(508) 770-0511
Mailing address
81 PLANTATION ST, WORCESTER, MA 01604-3069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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