Individual
KIRSTEN NICOLE AVERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 GROVE ST, WORCESTER, MA 01605-2651
(802) 323-9032
Mailing address
108 GROVE ST, WORCESTER, MA 01605-2651
(802) 323-9032
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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