Individual
ERALDA BANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 MERRICK ST, WORCESTER, MA 01609-1937
(508) 797-6100
Mailing address
585 LINCOLN ST, WORCESTER, MA 01605-1906
(508) 797-6100
(508) 797-0693
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
03/18/2024
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