Individual
ALICIA DERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 PLANTATION ST, WORCESTER, MA 01604-3069
(508) 549-5600
Mailing address
3 MORNINGDALE AVE, BOYLSTON, MA 01505-1916
(508) 615-0410
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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