Individual
AZSHA TANAY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 GOLD STAR BLVD, WORCESTER, MA 01606-2738
(508) 801-5444
Mailing address
1029 PLEASANT ST, WORCESTER, MA 01602-1319
(470) 997-7179
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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