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Organization

CEDAR STREET FAMILY CLINIC INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ARTHUR FRANCIS LOSAPIO LICSW (PRESIDENT)
(508) 752-1331
Entity
Organization

Contact information

Practice address
340 MAIN ST, WORCESTER, MA 01608-1604
(508) 752-1331
(508) 752-1511
Mailing address
340 MAIN ST, SUITE775, WORCESTER, MA 01608-1604
(508) 752-1331

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
Primary
251K00000X
Public Health or Welfare Agency
406F
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1319761
MA
Enumeration date
05/20/2006
Last updated
04/12/2011
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