Individual
DENISHA A CONCEPCION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
80 COMMERCIAL ST, HOLYOKE, MA 01040-4704
(413) 846-0445
Mailing address
147 NORMAN ST, WEST SPRINGFIELD, MA 01089-5003
(413) 296-6181
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1134107113
—
MA
01
—
Y10086
MEDICARE
MA
Enumeration date
09/08/2020
Last updated
09/08/2020
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