Individual
MAMUDU DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
36 GLENDALE ST, WORCESTER, MA 01602-2813
(774) 433-5434
Mailing address
36 GLENDALE ST, WORCESTER, MA 01602-2813
(774) 433-5434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
MA
172V00000X
Community Health Worker
Primary
—
MA
Other
Enumeration date
05/30/2019
Last updated
08/07/2026
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