Individual
SANDRA A CHIANCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
6 MELVILLE STREET, WORCESTER, MA 01605
(508) 854-0642
(508) 865-6059
Mailing address
6 MELVILLE STREET, WORCESTER, MA 01605
(508) 854-0642
(508) 865-6059
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
110096
MA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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