Individual
CHARLES BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 LINCOLN ST, WORCESTER, MA 01605-2401
(508) 799-9000
Mailing address
107 LINCOLN ST, WORCESTER, MA 01605-2401
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2051
MA
Other
Enumeration date
11/02/2007
Last updated
11/02/2007
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