Individual
MICHELL MACIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 TYLER PRENTICE RD, WORCESTER, MA 01605-1909
(774) 243-0438
Mailing address
30 TYLER PRENTICE RD, WORCESTER, MA 01605-1909
(774) 243-0438
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/23/2017
Last updated
05/20/2025
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