Individual
ANGELICA BAEZ-VAZQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 442-2882
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
MA
1041C0700X
Clinical Social Worker
Primary
LICSW127527
MA
Other
Enumeration date
10/16/2021
Last updated
10/18/2024
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