Individual
AMELIA L CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
255 PARK AVE, SUITE 300, WORCESTER, MA 01609-1953
(781) 871-6550
Mailing address
113 INDIAN MEADOW DR, NORTHBOROUGH, MA 01532-2444
(781) 871-6550
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1032353
MA
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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