Individual
FARAH GAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 DUNCANNON AVE APT 11, WORCESTER, MA 01604-5139
(781) 366-1149
Mailing address
324 CLARK ST FL 2, WORCESTER, MA 01606-1214
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100052010376
—
MA
Enumeration date
07/29/2019
Last updated
07/29/2019
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