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Individual

ERIC FAMILIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
484 MAIN ST STE 560, WORCESTER, MA 01608-1817
(508) 890-6519
Mailing address
484 MAIN ST STE 560, WORCESTER, MA 01608-1817
(508) 890-6519

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
03/24/2014
Last updated
03/24/2014
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