Organization
CEDAR STREET FAMILY CLINIC INC.
Active
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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