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Individual

MRS. COLLEEN MARY PARADIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
172 LINCOLN ST, WORCESTER, MA 01605-3750
(508) 770-0511
Mailing address
1066 PLEASANT ST, WORCESTER, MA 01602-1335
(508) 450-1830

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
08/17/2007
Last updated
08/17/2007
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