Individual
PAULINE PATIENCE KPANNAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(508) 798-1900
(508) 798-1914
Mailing address
11 SYCAMORE ST, WORCESTER, MA 01608-2213
(508) 798-1900
(508) 798-1914
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
09/30/2021
Last updated
07/08/2026
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