Individual
MR. ANTHONY LUNDI MNGOLIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604-3069
(508) 849-5600
Mailing address
484 MAIN ST, WORCESTER, MA 01608-1893
(508) 890-6519
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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