Individual
ALICIA DEJA AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
152 CENTER ST, CHICOPEE, MA 01013-1611
(413) 540-1234
(413) 538-5169
Mailing address
24 TAYLOR ST, SPRINGFIELD, MA 01103-1346
(401) 543-8840
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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