Individual
KAYLAH MARIE BRACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14 LANCASTER ST APT 3L, WORCESTER, MA 01609-2688
(508) 733-4685
Mailing address
14 LANCASTER ST APT 3L, WORCESTER, MA 01609-2688
(508) 733-4685
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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