Individual
AMANDA DEROSIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A
Contact information
Practice address
335 CHANDLER ST, WORCESTER, MA 01602-3441
(508) 641-9218
Mailing address
15 IDA RD, WORCESTER, MA 01604-3545
(508) 641-9218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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